
Required fields are marked with asterisks (*)
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Choose one: *
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I am joining the Friends of the Philharmonic. |
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I am renewing my Friends of the Philharmonic membership. |
I am giving an additional gift to the Friends of the Philharmonic.
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I would like to give a gift membership. (Please provide recipient's information under "Gift Membership" below.)
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Mailing Information
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| Salutation |

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| First name* |

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| Last name* |

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| Member ID |

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| Home street address* |

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| City* |

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| State* |

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Zip/Postal Code*
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| Home telephone* |

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(format: XXX-XXX-XXXX) |
| Home e-mail* |

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| Company name |

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| Title |

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| Business street address |
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| City |

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| State |

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Zip/Postal Code
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| Business telephone |

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(format: XXX-XXX-XXXX) |
| Business e-mail |

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Please use my business address. |
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Membership Level*
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| If you are renewing, please won't you consider upgrading to the next level? |
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YES, please send me a free CD, as a thank-you for my gift of $150 or more, or if I upgrade my membership with my renewal. |
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Payment
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| Please charge* |
$
to my*
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| Credit Card Number* |

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Exp. date*
(format: MM/YY) |
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Please charge my Sustainer gift of $
per month. |
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Matching Gift
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| I will mail the matching gift form in the amount of $
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from
which may be applied to my membership level.
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(Company name)
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| Mail to: |
Friends of The Philharmonic
Avery Fisher Hall
10 Lincoln Center Plaza
New York, NY 10023-6970
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Tax Deductibility

The New York Philharmonic is a not-for-profit institution. All contributions are tax deductible less the fair-market value of the benefits provided, unless you indicate that you wish to decline the benefits.
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I wish to decline all benefits to claim the full tax deduction for my gift. |
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Young New Yorker (YNY) Friends
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I would like to become a YNY Friend (ages 21-40). |
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The Heritage Society
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I have included the Philharmonic in my will and wish to join the Heritage Society. |
I am interested in receiving information on ways to support the future of the Philharmonic and receive tax benefits.
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Gift Membership
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I/We would like to give a special Gift Membership.
Please indicate recipient's name and address and Gift membership:
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| First name |

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| Last name |

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| Street address |

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| City |

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| State |

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Zip/Postal Code
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| Telephone |

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(format: XXX-XXX-XXXX) |
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Please send renewal notice to me. |
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Please send renewal notice to my friend. |
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Honorarium/Memorial Gift
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I/We would like to give an Honorarium/Memorial Gift.
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| I would like to make a gift of |
$
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| In honor of |

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(name as you wish it to appear in Annual Report listing)
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| In memory of |

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(name as you wish it to appear in Annual Report listing)
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| Please acknowledge this gift to: |
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| First name |

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| Last name |

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| Street address |

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| City |

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| State |

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Zip/Postal Code
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| Telephone |

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(format: XXX-XXX-XXXX)
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Friends of the Philharmonic
Avery Fisher Hall
10 Lincoln Center Plaza
New York, NY 10023-6970
Telephone: (212) 875-5381
Fax: (212) 875-5716
E-mail: friends@nyphil.org |