Young Music Lovers Circle Application & Pledge Form Question Title * 1. Personal Information Name Address Email Address Phone Number Question Title * 2. Would you like to join Premiere Performances' Young Music Lovers Circle? (Annual membership) Yes! I would like to become a Gold Member for HK$5,000. Yes! I would like to become a Silver Member for $2,500. All donations are fully tax-deductible. Benefits include exclusive pre- and post-concert networking events, invitations to exclusive private salon concerts, “Buy one, get one free” offers available to selected Premiere Performances concerts, access to closed dress rehearsals, and acknowledgement on website. Question Title * 3. Join the Circle Steering Committee Yes! I want to join the Circle Steering Committee to help with event planning No thanks Please consider supporting our Outreach & Education programs! We believe that the thrill of live music performances should be accessible to all. We bring world class concerts into local schools across Hong Kong, and offer tickets to our Family Concerts to underprivilegded kids. Question Title * 4. Pledge to support our Outreach & Education Programs HK$2,000 will cover the cost of a digital resource kit/teaching materials for 1 school HK$5,000 will enable 50 underprivileged children to come to one of our Family Concerts HK$8,000 will enable 100 students to attend an in-school performance HK$10,000 will enable 100 underpriviledged children to come to one of our Family Concerts HK$20,000 will bring an in-school performance into one Special Needs or Low-Income school Other Amount (please specify in HK$) Question Title * 5. Refer a friend Please forward materials about the Young Music Lovers Circle to my friends listed below. Email Address(es) Question Title * 6. Payment Method I will send a cheque made out to Premiere Performances of Hong Kong Ltd to Unit 1522, 15/F, Leighton Centre, 77 Leighton Road, Causewat Bay, Hong Kong I will make a bank transfer to Premiere Performances of Hong Kong Ltd (Citibank account number 250-390-48085510) Please send me a PayPal invoice for the following amount: The personal data collected may be used for mailing publicity materials of Premiere Performances of Hong Kong. You have the right to request access to and alter data in accordance with Personal Data (Privacy) Ordinance. For enquiries, please call us at 95456851. Submit