I/We would like to support the Pocono Choral Society by pledging the following tax-deductible contribution:

_____   $1,000 Archangel

_____   $500    Angel – Receive four tickets for three concerts

_____   $250    Benefactor – Receive two tickets for three concerts

_____   $100    Contributor – Receive two tickets for two concerts

_____   $50      Sponsor – Receive two tickets for one concert

_____   $25      Patron

_____   $_____  Mary Jane Snyder Memorial Library Fund (for purchase of music)

Name:__________________________________________________________________

                          (As you wish it to appear in the program and on the website)

 Address:________________________________________________________________

Phone: (Home)___________________________ (Work)__________________________

After completing this form, mail it along with your payment to:

POCONO CHORAL SOCIETY

PO BOX 5

STROUDSBURG, PA  18360

Please make checks payable to the Pocono Choral Society.

                                THANK YOU FOR YOUR SUPPORT.