I.C.O. Gift Order Form

YES, I want to play my part to support the
ITALIAN CHAMBER ORCHESTRA

Ceck Enclosed for $ _______________________________
Make chech payable to Giovanni Froio I.C.O.
mail to:

ITALIAN CHAMBER ORCHESTRA
Viale Kennedy 38
88068 SOVERATO(CZ)
ITALY

You can also send your gift on this checking account
Giovanni Froio I.C.O.
Bank CARIME of SOVERATO (CZ)
ITALY
CODE 03067.6
CAB 42770.8
CHECKING ACCOUNT NUMBER 51005928.87

Name:____________________________________
(name as you wish to appear in the program book)

Address: __________________________________

City: _____________________________________

State: ____________________________________

Zip: ______________________________________

Day Phone ________________________________

Evening Phone _____________________________