Name(s):

Address:

Telephone:

E-mail:

$10,000 Symphony Table of 10 – includes 30 tickets to the Verdi Requiem Civic Opera House Concert on April 26, a chamber music ensemble or jazz combo at your event, and prominent recognition at the benefit

$5,000 Concerto Table of 10 – includes 20 tickets to the Verdi Requiem Civic Opera House Concert on April 26, a chamber music ensemble or jazz combo at your event

$2,500 Chamber Table of 10 – includes 10 tickets to the Verdi Requiem Civic Opera House Concert on April 26

Individual reservation(s) at $250 each

Lords and Ladies with whom I/we will feast:

I/we prefer vegetarian meal(s)

I/we wish to purchase raffle tickets at $10 each or 3 for $25. Raffle items include 42" Panasonic HD plasma screen TV, MacBook laptop, Garmin navigation system, and Bose noise-cancelling headphones. Raffle tickets may be purchased anytime prior to the drawing at the benefit. You need not be present to win.

I/we wish to make a tax-deductable donation of $