Mimir Chamber Music Festival Donation Form

Billing Address

First Name*:


Last Name*:


Address1*:


Address2:


City*:


State*:
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Zip*:


Email*:


Phone*:

Billing Address Same As Contact Address?*:
YesNo

Contact Address

First Name*:


Last Name*:


Address1*:


Address2:


City*:


State*:
Texas Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States Of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Zip*:


Email*:


Phone*:

Decline all benefits?*:
YesNo

Please add me to the Mimir Mailing List:
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In Honor Of:


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Comments:

Donation Levels

Encore! Virtuoso Level — $25,000

Encore! — $15,000

Bravo! Level — $10,000

Patron Level 1 — $7,500

Patron Level 2 — $5,000

Quintet Schubert Level — $3,500

Quintet Dvorak Level — $2,500

Quartet Bartok Level — $2,000

Quartet Beethoven Level — $1,500

Trio Archduke Level — $1,000

Trio Dumky Level — $750

Duo Level — $500

Solo Level — $275

Friends of Mimir Level ($25 — $250) or Custom Amount

Friends of Mimir Donation Amount:

Payment Information

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Name on Card:


Card Number


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Expiration (MM/YYYY)  

Donation Levels

Encore! Virtuoso Level — $25,000
Special recognition in Mimir program and from the stage • Series tickets for 6 to all 8 concerts and opening reception • Invitation to Mimir Artists’ closed rehearsal • Private performance opportunity • Preferred seating
$23,860 tax deductible

Encore! Level — $15,000
Special recognition in Mimir program and from the stage • Series tickets for 6 to all 8 concerts and opening reception • Invitation to Mimir Artists’ closed rehearsal • Private performance opportunity • Preferred seating
$13,860 tax deductible

Bravo! Level — $10,000
Recognition in Mimir program and from the stage • Series tickets for 6 to all 8 concerts and opening reception • Invitation to Mimir Artists’ closed rehearsal • Preferred seating
$8,860 tax deductible

Patron Level 1 — $7,500
Recognition in program and from the stage • Series tickets for 4 to all 8 concerts and opening reception • Invitation to Mimir Artists’ closed rehearsal • Preferred seating
$6,740 tax deductible

Patron Level 2 — $5,000
Recognition in program and from the stage • Series tickets for 4 to all 8 concerts and opening reception • Invitation to Mimir Artists’ closed rehearsal • Preferred seating
$4,240 tax deductible

Quintet Schubert Level — $3,500
Sponsors one Mimir Featured Artist including support for travel and hosting • Recognition in program • Series tickets for 4 to all 8 concerts and opening reception • Introduction to Featured Artist and invitation to Artist’s closed rehearsal • Preferred seating
$2,740 tax deductible

Quintet Dvorak Level — $2,500
Sponsors one Mimir Featured Artist including support for travel and hosting • Recognition in program • Series tickets for 4 to all 8 concerts and opening reception • Introduction to Featured Artist and invitation to Artist’s closed rehearsal • Preferred seating
$1,740 tax deductible

Quartet Bartok Level — $2,000
Sponsors one Emerging Artist, underwriting for full tuition or full tuition and housing • Recognition in festival program • Series tickets for 4 to all 8 concerts and opening reception • Preferred seating
$1,240 tax deductible

Quartet Beethoven Level — $1,500
Sponsors one Emerging Artist, underwriting for full tuition or full tuition and housing • Recognition in festival program • Series tickets for 4 to all 8 concerts and opening reception • Preferred seating
$740 tax deductible

Trio Archduke Level — $1,000
Supports community outreach performances • Series tickets for 2 to all 8 concerts and opening reception
$610 tax deductible

Trio Dumky Level — $750
Supports community outreach performances • Series tickets for 2 to all 8 concerts and opening reception
$370 tax deductible

Duo Level — $500
Series tickets for 2 to all 8 Mimir concerts
$160 tax deductible

275 Level — $275
Series tickets for 1 to all 8 Mimir concerts
$130 tax deductible

$25 — 250

*For federal income tax purposes, your tax deduction is limited to the amount in excess of the value of goods or services received. If you wish to decline all benefits and make a 100% tax-deductible donation, please include that information in the memo portion of your check or the online form.