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. |
