The Art of Music
    Raffle Ticket Order Form     


Complete the form below and mail your raffle choice(s) with check payable to The Williamsburg Symphonia League to the address below. You may also charge your tickets by providing credit card information. This site is not set up to process credit card payments, so you must mail the completed form to obtain your raffle tickets.
Name:  
1 ticket - $10
 
3 tickets - $25
Mailing Address:  
Phone Number:  E-mail Address: 

Raffle Violin Numbers and Artists:
1.   Apryl Altman – Evensong # Tickets  Total $
2.   Jean Hess – Homage to Matisse # Tickets  Total $
3.   Lynn Hosegood – Sfortzato # Tickets  Total $
4.   Jan Ledbetter – A Red Note # Tickets  Total $
5.   Polly Nunn – Calla Lilies # Tickets  Total $
6.   Sharon Parker – The Italian Connection # Tickets  Total $
7.   Karen Schwartz – Purple Mountain Majesties # Tickets  Total $
8.   Shelley Ward – A Little Night Music # Tickets  Total $
Total # Tickets  Grand Total $
Method of payment:   Check      VISA     MasterCard
Credit Card #    Exp. Date: (month/year)
Name On Card:     Signature:______________________________
Send me an invitation to the Overture, September 10, 2004 and/or the Finale, November 10, 2004

Please complete this form and mail it with your payment by November 5, 2004 to:
The Williamsburg Symphonia League, P.O. Box 1665, Williamsburg, VA 23187

MAIL PRINTED PAGE TO THE WILLIAMSBURG SYMPHONIA LEAGUE TO PURCHASE RAFFLE TICKETS!!!
We will mail your artist/violin-specific raffle ticket stubs to you. The purchase of raffle tickets is not tax deductible as a charitable contribution. You do not have to be present to win, but winners must take responsibility for picking up the violin by November 30, 2004, or paying for delivery outside the immediate area. After that date another drawing will be held for unclaimed violins at the offices of The Williamsburg Music Association, Waller Mill Rd., Williamsburg. You must be at least 18 years of age to participate. Employees, members of the Boards of Directors, and their immediate families, of The Williamsburg Music Association, The Williamsburg Symphonia League, and This Century Art Gallery are ineligible. The Williamsburg Symphonia League and This Century Art Gallery reserve the right to withdraw this offer at any time, with full refund to ticket holders. Ticket sales will be limited. Violins are for decoration only and cannot be played.
(To print page, in File/Page Set-up, set all margins to .5")