Subscription Form

Subscription Form

Please print this form, fill it out and mail with your check made out to:

BSCCA

PO Box 836 Borrego Springs CA 92004-0836

Please specify to which season you are subscribing.

Thank you for your generous support.

¨ Individual $100 ¨ Couple $200 ¨ Patron $275 ¨ Benefactor $500 ¨ Sponsor $1,000 and up

(Patron, Benefactor & Sponsor includes two memberships)

Enclosed is my check for $_____________, made payable to: Borrego Springs Community Concert Association

Please Print the following information:

Name(1) ________________________________________________________________________________________________

Name(2) ________________________________________________________________________________________________

Mailing Address ___________________________________________________________________________________________

City ________________________________________________________________ State ______ Zip Code _______________

Phone (______) ______-________ Email address ______________________________________________________________