Name:___________________________________________________

Address:_________________________________________________

City/State/Zip:_____________________________________________
 
 
 

____Subscriber	$15-24	___Benefactor	$250-499
____Member	$25-49	___Sustainer	$500-999
____Patron	$50-99	___Founder	$1000 and Up
____Sponsor	$100-249

Please make checks payable to the Indianapolis Brass Choir, and mail to Terri Ewigleben, Administrative Director, 9 Cottongrass Court, Brownsburg, IN 46112. For more information, call Terri at (317) 852-1895.