2016-2017 Symphony Belles Application

Returning Belle New Belle JR SR

Name: Date:

Address: City Zip

High School: Grade:

Home Phone: Cell Phone: (Include area code)

Email: Birthday:

I would like to donate my purchased ticket to a student.

Parents’ Names:

Parent Cell Phone: Parent Email:

BELLE FINANCIAL RESPONSIBILITY

*Parent Season Ticket $185 (includes $10 processing fee)
I purchased my ticket(s) by credit card online at BVSO.org. Reference #: / $
*FASO Membership $40 / $
*Belle Fee (covers Belle program, seminars, and senior presentation fee) $185 / $
I would like to purchase _____ additional season tickets at $175/ticket. / $
I would like to purchase _____ additional Holiday Concert tickets at $18.75/ticket. / $
This is a 25% discount off the pirce of the tickets. The Holiday Concert is NOT a part of the season subscription package.
*Minimum Total Due $410 ($225 if ticket purchased online)
PAYMENT OPTIONS ARE AVAILABLE, EMAIL BELLE COORDINATORS FOR DETAILS / $

MAKE CHECKS PAYABLE TO SYMPHONY BELLES

Mail application and payments to:

Leslie McGinnis, P.O. Box 3524, Bryan, TX 77805

Email:

By initialing this document, I agree to fulfill the obligations of membership in the Symphony Belle

Program: 3 ushering times, 4 service hours, 2 seminars/activities for seniors and 3 for juniors, 2

hospitality gifts, and fees stated above.

Belle Name: Initials:

Returning Belles: Attach your hours tracking form from 2015-2016 to this application.

An Application is NOT complete without payment, completion of this form, and hours tracking form. Not all who apply can be accepted. Space is limited. Late applications may not be accepted. Final application date for all Belle applications is August 1, 2016.