Contribution Coupon

• MAIL to Music Before 1800, 529 West 121st Street, New York,

   NY 10027. Make check payable to Music Before 1800.

• CALL the Music Before 1800 box office at 212.666.9266 to make

   credit card purchases.

• FAX this form to 212.666.9266.

• ORDER ONLINE by clicking on the “Online Box Office” button.

Trustee ($5,000 or more)	$______
Guarantor ($2,500 or more)	$______
Sustainer ($1,000 or more)	$______
Benefactor ($500 or more)	$______
Sponsor ($250 or more)	$______
Patron ($150 or more)	$______
Friend ($100 or more)	$______
Other	$______

How should we list your name(s) on the contributors’ list?

____________________________________________________________

Does your employer match gifts to non-profit organizations? _____

Would you like to be a volunteer? _____

Name       ____________________________________________________

Address   ____________________________________________________

City _______________State _____ Zip ___________

Phone      ____________________        ____________________       

(work)                                                      (home)

Email       ____________________________________________________

Indicate payment option    __Visa     __Mastercard     __Check

Card number           ____________________________________________

Expiration date        ____________________________________________

Name       ____________________________________________________

(print exactly as it appears on the card)

Billing address         ____________________________________________

(if different)

City _______________State _____ Zip ___________

Signature ____________________________________________________

Music Before 1800, Inc., is a non-profit organization.  All contributions to the series are fully tax-deductible as provided by law.  A copy of the latest Annual Report filed by Music Before 1800, Inc., with the New York Secretary of State may be obtained upon request from Music Before 1800, Inc., 529 West 121st Street, New York, NY 10027, or from the New York Department of State, 162 Washington Avenue, Albany NY 12231.