Pinellas Opera League
Dedicated To promoting a Greater Interest in Opera and Musical Theater
Membership application
Date: __________________
Name: _______________________________________________________________________
Phone No.______________________________________
Address: ________________________________________________________________________________
City/State/Zip:_________________________________
E-mail Address: _______________________________________
___ Yes, please send the newsletter and flyers via email.
MEMBERSHIP: 2012 Annual Dues (calendar year)
____ Renewal: ____$25.00 (Individual)
____$40.00 (Couple/Family)
Total Amt. Pd. $ ________________
Check No. _____________________
Please consider a tax deductible contribution to the League by circling a category below.
Grand Opera Angel ($500+) Puccini Circle ($100+) Wagner Circle ($50+)
Verdi Circle ($25+) Mozart Circle ($15+)
Amt. of Contribution $ ________ Check No: ________
Please make check(s) payable to Pinellas Opera League - mail check(s) and completed form to: Richard Davidson, 1206 Roxbury Drive, Safety Harbor, FL34695
Information: Call Richard Davidson 727-483-9842
VOLUNTEERS: Yes, I am interested in volunteering ____ Computer skills? _____
PERSONAL DATA (optional): Career/Education/Background: (Please use reverse side for additional information)
New to opera or a long time opera lover? __________
Which operas do you enjoy? Italian___ French___ German___ Other _____________________
I enjoy Broadway Musicals? _______ Operettas? _______ Zarzuelas? ________
How did you learn about the Pinellas Opera League?
Website___ Newspaper___ Internet___ Event___ Other (explain)_________________________
Pinellas Opera League Member (name) _____________________________________________
Do you know someone who is interested in joining Pinellas Opera League? Please contact us or list their name(s) and contact information on the reverse side of this application.
Website: www.pinellasoperaleague.com
A not-for-profit 501(c)3 organization