Oxnard Community Concert Association 2013 - 2014 Season
Last Name: ____________________First:_______________
Address:__________________________________________
City: ___________________________State: ______ Zip:__________
Phone:__________________E-mail Address:_________________________
Adult @ $80.00 ( After 5/31 - $85 ) _______________
Student @ $15.00 (must be full time and under 21 ) _______________________
Family Plan @ $175.00 (2 parents and Children) ( After 5/31 - $185 ) ___________________
Single Family Plan @ $95.00 (After 5/31 - $100.00) (single parent and children) __________________
Patron Plan Tax Deductible Donations
Platinum Angel: $1000 Gold Angel: $750 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
2060 Patricia St. Oxnard, Ca 93036
Phone : 805-483-3858
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