Annual Membership Payment Form Name* First Last Please only complete this payment form if you have been notified that your application for membership was successful or if you are a renewing member. Email* Contact Number*Please select payment option*Player MemberNon-Player MemberIf you would like to donate to DSO, thank you, and please select an amount belowNo donation this time$10$20$50$100$250Donations of over $2 are tax-deductible and help us continue to bring inspiring music to the Territory. Donors of $250+ are acknowledged as DSO Patrons. If you would like to donate a different amount, please visit our donations page. Total $ 0.00 Credit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name
