WSWDC ESP Contribution Form

The Wagner Society of Washington DC
For the Study and Enjoyment of Wagner's Art

. . . CONTRIBUTE to the EMERGING SINGERS PROGRAM. . .

To make a contribution to the WSWDC's Thomas Stewart /Evelyn Lear Emerging Singers Program,
please fill in the following.

Use (TAB) key to move between fields. Note: The fields with "*" (asterisk) are required for credit-card use.

Contact Information

Last Name: First Name: Title:

Are you a current Member?

Address 1:	Address 2:
City:	State:	Zip Code:
Home Phone:	Daytime Phone:	Fax Number:

E-Mail Address:

Dual Member Information

Dual Member Last Name: Dual Member First Name:

MAKE YOUR CONTRIBUTION HERE!

Amount of Contribution:
Comments:

Payment . . .
1. Fill in your information above and the credit card payment information below and SUBMIT it (see button below), or
2. Print this form with your information and send it with a check for the full amount
(made out to Evelyn Lear and Thomas Stewart Emerging Singers Fund) to:
Wagner Society of Washington DC
P.O. Box 58213
Washington, DC 20037

To use a credit card, please fill in the following:

* Name on Card:
* Select Credit Card Type:	* Amount to be charged?
* Credit Card Number:	* Expiration date:

The Wagner Society of Washington DC
P.O. Box 58213
Washington DC 20037
Phone: 301-907-2600 FAX: 301-907-8671
http://www.wagner-dc.org

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Questions? e-mail the Webmeisterin.

last update: 30 September 2006 Return to main page.