Oxnard Community Concert Association 2010 - 2011 Season

  Last Name: ____________________First:_______________                                                          

  Address:__________________________________________

  City: ___________________________State: ______ Zip:__________

  Phone:__________________E-mail Address:_________________________

  Adult @ $70.00         ( After 5/31 - $75.00)                     _______________

  Student @ $15.00 (must be full time and under 21 )  _______________________

  Family Plan @ $155.00 (After 5/31 - $165.00 )
  (2 parents and Children)                                                 ___________________

  Single Family Plan @ $85.00   (After 5/35 - $90.00)

  (single parent and children)                                              __________________

 Patron Plan Tax Deductible Donations

 Patron $500        Benefactor $250         Sponsor $100         Donor $50           Friend $25          Other:
  Student Outreach Program $ _____________

  In Memory of: ______________________________
   Names of Donor will also be acknowledged

 TOTAL AMOUNT ENCLOSED $____________________

 Mail to: Membership VP, Oxnard Community Concert Associations
  919 South G Street, Oxnard, Ca 93030 
  Phone : 805-483-3858 or 805-488-1200