Regina Opera Guild Membership Application

To join the Guild, or to renew your membership, fill out the form below, print this page, and mail with your check payable to:

Regina Opera Company
c/o Joe Delfausse
580 7th Street
Brooklyn NY 11215-3707

***Membership fee is good for one year and does not include admission price. Tickets must be purchased separately.***

For further information, click here or call (718) 232-3555.

 

Name

Street Address

Street Address 2

City   State    Zip Code 

Daytime Phone: Area Code Number

Evening Phone: Area Code Number

E-mail Address 

Membership type (fees subject to change):

Gold Curtain Single ($45)    Gold Curtain Couple ($55)

Diamond Horseshoe Single ($60)    Diamond Horseshoe Couple ($75)

Please check this box if this is a renewal:

Regina Opera Company is a non-profit organization.
Payment in excess of $12.25 for single membership and $24.50 for couple membership is tax-deductible.

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