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Donor Form


Gifts to the Charlotte Symphony are tax deductible.

Please fill out the form below. When you are finished, you can submit it securely and electronically, or you may print out the form and mail it along with your donation to:

Charlotte Symphony
Two Wells Fargo | 301 S. Tryon Street, Ste. 1700 | Charlotte, NC 28282
Administration: 704.972.2003 | Ticket Office: 704.972.2000 | Fax: 704.972.2011

Please provide the following contact information:

Name:
 
As you wish to be listed in the program book
Address:
City:
State:
Zip Code:
Work Phone:
Home Phone:
E-mail:
Membership Categories
Platinum Podium $25,000+ Gold Baton  $12,000-$24,999
Conductor’s Circle  $6,000-$11,999 Founder $3,500-$5,999
League Benefactor  $2,000-$3,499 Patron $1,250-$1,999
Affiliate Member $750-$1,249 Sustaining Member  $500-$749
Contributing Member  $250-$499  Friend $1-$249
My/Our Contribution: $
Employer Match Program

My employer, , will match my gift. I will mail you a matching gift form.
Do You Want to Designate Your Gift?
I do not wish to receive any benefits which reduce the tax-deductible value of my gift.
I want to designate my gift to the Oratorio Singers of Charlotte.
I want to designate my gift to Education Programs.
I want to designate my gift to Charlotte Symphony Youth Orchestras.
   
How were you directed to this Web site or prompted to make a donation to the Charlotte Symphony?
Friend or family member
Symphony staff person or musician
CSO mailing
CSO email
Other:
   
Additional Comments or Instructions:
Credit Card Information
 
    Credit Card
    Cardholder Name
    Card Number
    Expiration Date
    CSV Code
Please send me an invoice to the address listed above

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