Subscription Form

Step 1: Your details Title: First Name/s: Last Name: Address: City: State: Zip Code: Email: Age Range: Under 18 19-25 26-40 41-55 56-70 71+

Step 2: Select your shows by ticking the boxes Body and Soul (Orff, Theofanidis, Stravinsky) October 15 2017, 7pm Pick-Staiger Hall, Evanston Sonorous Earth (Augusta Read Thomas, Mozart) November 12 2017, 3pm Harris Theater, Chicago Bows and Beasts (Saint-Saëns, Tchaikovsky, Vivaldi) March 4 2018, 7pm Pick-Staiger Hall, Evanston Beyond the Black Sea (Tchaikovsky, Rachmaninoff) April 8 2018, 3pm North Shore Center for the Performing Arts The Dream (with Visceral Dance Chicago) April 29 2018, 3pm North Shore Center for the Performing Arts Hollywood Heroes (Star Wars, Braveheart, Rocky) May 27 2018, 3pm Harris Theater, Chicago

Step 3: Select your package Seating Area TOTAL Premium Plus Reserved Package Ticket Packages Price Quantity Price Quantity Price Quantity Price 6 concerts $306 $204 $102 5 concerts $262 $175 $87 4 concerts $225 $150 $75 3 concerts $180 $120 $60 2 concerts $127 $85 $42 Total

Step 3: Add any additional ticket Ticket Premium Plus Reserved TOTAL Add. Performance Type Price Quantity Price Quantity Price Quantity Tickets Standard $75 $50 $25 Body and Soul Senior $63.75 $42.50 $25 Student $10 Standard $75 $50 $25 Sonorous Earth Senior $63.75 $42.50 $25 Student $10 Standard $75 $50 $25 Bows and Beasts Senior $63.75 $42.50 $25 Student $10 Standard $75 $50 $25 Beyond the Black Senior $63.75 $42.50 $25 Sea Student $10 Standard $75 $50 $25 The Dream Senior $63.75 $42.50 $25 Student $10 Standard $75 $50 $25 Senior $63.75 $42.50 $25 Hollywood Heroes Child $52.50 $35 $10 Student $10 *Seniors 65+ *Child Under 16 Step 4: Where would you like to sit? If you have preferred rows and seats within the auditorium, please note them here and we will endeavour to secure you the same or similar seats. If not, Chi Phil staff will select the best seats for you. Go to chicagophilharmonic.org/concerts-at-a-glance/plan-your-visit for seating plans

Pick-Staiger Hall, Evanston Row: Seats: or Best Available North Shore Center for the Performing Arts, Skokie Row: Seats: or Best Available Harris Theater, Chicago Row: Seats: or Best Available

Step 5: Would you like to add Chi Phil Community Membership? Quantity TOTAL COST Concerto $100 Sonata $50 * Sonata included with membership packages of 3 TOTAL or more concerts if booked before June 30.

Step 6: Would you like to make a donation with your subscription package today? Name the donation is made in or Anonymous

Donation amount $50 Corporate Matching $100 Does your company participate in matching donations? $250 Company Name: Other City and State: TOTAL

Step 7: How would you like to receive your tickets? Please tick the relevant box. Will Call Free Print-at-home E-Ticket Free Mailed $1 shipping fee

Step 8: Calculate totals. Add together all the red fields to get your total. Subscription Packages Additional tickets Community Membership Donation Mailed ticket shipping fee (if applicable) Handling fee $5.00 *$5 Handling/Ticketing fee applies to all subscriptions TOTAL AMOUNT DUE

Step 9: Payment can be made with credit card or check. Check: Please make all checks for the full amount payable to CHICAGO PHILHARMONIC SOCIETY Credit Card: Circle card type Discover Mastercard Visa (Amex unavailable) Card Number Expiration / CVV/CSC Name on card *Please note: Once tickets are issued, card details are destroyed for security purposes.

Please add here any Notes/Comments/Special Requests for Chicago Philharmonic staff:

Return to Chicago Philharmonic, 401 S LaSalle St, Suite 1600-J, Chicago IL 60605 [email protected]