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Symphony June book.indd - Music - University of California, Irvine

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CLAIRE TREVOR SCHOOL OF THE ARTS<br />

GIFT REMITTANCE FORM<br />

Payment Information<br />

Please Indicate Payment Method – DO NOT SEND CASH!<br />

Check enclosed Visa MasterCard or American Express<br />

(payable to UC Regents)<br />

Credit Card #<br />

Expiration Date<br />

Signature<br />

(as it appears on the card)<br />

Become a Patron <strong>of</strong> the Arts<br />

Gift cards available at www.arts.uci.edu/giftcards<br />

To make a gift to the Claire Trevor School <strong>of</strong> the Arts, please fill-in the information<br />

below, mail it with your check (made payable to UCI Foundation) or, if you prefer,<br />

provide your credit card information. You may designate the area you want your<br />

contribution to assist — Dance, Drama, <strong>Music</strong>, Studio Art, The Beall Center for<br />

Art + Technology, or the <strong>University</strong> Art Galleries.<br />

Name<br />

Mailing Address<br />

City/State<br />

Telephone<br />

Email<br />

Please print clearly<br />

Purchase a Gift Card (Please specify amount)<br />

ARTS PASS (Students only)<br />

10 Pass Card ($95.00 ea)<br />

20 Pass Card ($175.00 ea)<br />

CTSA Fund for Excellence<br />

Help provide student scholarships & support our pr<strong>of</strong>essional quality<br />

performances & exhibits. Private support is essential to our students and will<br />

assist them in achieving their academic goals. Call (949) 824-8750 for more<br />

information.<br />

Donation Amount: $<br />

TOTAL<br />

Mailing Address: Claire Trevor School <strong>of</strong> the Arts<br />

<strong>University</strong> <strong>of</strong> <strong>California</strong>, <strong>Irvine</strong><br />

200 Mesa Arts Building<br />

<strong>Irvine</strong>, CA 92697-2775<br />

Attn: Development Office<br />

More info: (949) 824-7513<br />

Zip<br />

# <strong>of</strong> Cards # Cards x Price<br />

= Total

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