Orpheus Club Associate Member Application: Section 1 - Contact Information
2021 - 2022 Associate Membership Application

Associate Membership includes:

- Four invitations to the three annual concerts
- Two invitations to a performance of The Twelfth Night Revels at the Orpheus Clubhouse,
- Invitations to additional events, which are priced separately.

Dress for Concerts and Revels is Black Tie or Orpheus Colors; Other Events as Advised

Founders Circle Associate Membership has additional benefits described in the season brochure and on our associate membership page at...

https://orpheusclub.org/associate-membership/

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Email *
Date of Birth:
MM
/
DD
/
YYYY
Formal Name of Candidate(s) Including Spouse If Applicable *
As you would have it appear formally in printed materials, e.g., Mr. & Mrs. John B. Good: Title(s) .... Name(s)
Preferred Name(s) / Nickname(s) Including Spouse, If Applicable
e.g., Jim for James, Beth for Elizabeth, etc.
Mailing Address - Street Line 1 *
Mailing Address - Street Line 2
Mailing Address - City *
Mailing Address - State *
Mailing Address - Zip *
Telephone - Mobile
Telephone - Home / Office
Please select preferred contact number
Additional Email Addresses
If there are additional email addresses where you'd like to receive correspondence from the Orpheus Club in addition to the required email address at the top of the application, please list it here.
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