Mail to: ACCA, c/o Connie Burns, 3958 Happy Road, Loomis, CA  95650 - (916) 652-5594

The enclosed check to Auburn Community Concert Association (ACCA) for $ ______________

includes a tax exempt patron gift of $ ________________ in addition to payment

for the subscriptions indicated:

______ $60.00 adult ______ $20.00 student ________$125.00 family: 2 adults & all children 18 & under
  number                                                       number                                                                                   number of children _______

Name _______________________________________ Phone_________________________

Address ____________________________________________________________________

Referred by _________________________________________________________________

Individual concert tickets at the door are $25.00 for adults and $10.00 for students, unless the concert is sold out.

…………………………………………………………………………………………………………………………………………………………………………
Patron contributions support the Auburn Community Concerts and schools outreach programs.
Auburn Community Concert Association is a 501-c (3) non-profit organization,
ID #68-0051009. Contributions are tax deductible.

o Friend…..……..$5~49
o Patron…………$50~249
o Champion……...$250~499
o Benefactor….….$500~999
o Sponsor………..$1000+
o I would like more information on earning a free ticket through your volunteer program.

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