Sustaining Membership Sign Up Form

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Please fill out this form if you would like to become a sustaining member with the GMChorale. Support us with as little as $5 a month. By spreading your contribution in equal monthly installments, you help us through times when income isn't being generated from concerts. To begin, fill out this form then either set up a recurring payment to GMChorale through your bank or contact Robert O'Brien, Managing Director, at robert.obrien@gmchorale.org to set up payment by credit card.

If you have any questions, please email Robert O'Brien at the email above and we will respond as soon as possible. Thank you for donating!

Email *

First name *

Last name *

Home address number and street name (e.g. 10 Main Street) *

Home address city *

Home address state *

Home address zip code *

Is your home address the same as your billing address? *

Yes

If no, what is your billing address?

What is the best telephone number to reach you? (please include the area code and only numbers e.g. 8608675309) *

What type of telephone number is the number above *

Home phone

Cell phone

Work Phone

Other:

Are you a current singing member with the GMChorale *

Yes

No, I am a former singing member with GMChorale

No, I have never been a singing member with GMChorale

Have you been a sustaining member with the GMChorale in the past? *

Yes

I don't know

How much would you like your MONTHLY donation to be? *

Contributor $5

Donor $10

Sponsor $25

Patron $50

Benefactor $100

Conductor's Circle $250

Other:

Please write your name exactly as you would like to be recognized. Please write "Anonymous" if you wish to be anonymous. You may also write "In memory of" *

By filling out this form, you are agreeing to make a recurring monthly donation to the GMChorale. If paying by credit card, you agree that the Chorale may charge your card once per month at the amount specified in this form. You may discontinue at any time. Please check that you have read and understood the terms of sustaining membership and that you agree to them. *

I agree

Send me a copy of my responses.

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