First Muse Chamber Music - Ticket Request Form
Print this page and include it with your payment.   Please indicate quantity of tickets requested.

NOVEMBER 18, 2018 - Nakamatsu and Amenda meet Mozart and Dohnanyi
 _____  $15 general            _____  $5 student        _____  $30 family maximum*

* Family pricing is intended for a combination of adults and students who live together.
            I would like to make an additional tax-deductible donation in support
                of the artistic level and the reasonable ticket prices.
                (Please enclose a separate check for your donation)
                    _____  $50 Friend (includes program listing)
                    _____ $100 Contributor (plus reserved seating)
                    _____  $400 Artist Underwriter (support an artist!)
                    _____  Other:  $_________
 Please acknowledge me/us in the program as_________________________________________

Please make checks payable to, and send to:
            First Unitarian Church - First Muse Chamber Music
                220 Winton Road South
                Rochester NY 14610
Name ______________________________________________________________
Address ____________________________________________________________
City / State / Zip ______________________________________________________
Email Address ________________________________________________________