And with your help.....

The Music Plays On!

Your contribution will allow music education program development & implementation to begin now!

Level:
Amount:
Director
$10,000 & above
Composer
$5,000 to $9,999
Arranger
$3,000 to $4,999
Soloist
$1,000 to $2,999
Audience
$999 & under

 

Name: _____________________________________________________________________
Company: _____________________________________________________________________
Address: _____________________________________________________________________
City: ____________________________________ State: _________ Zip: ___________
Phone: _______________ Fax: _______________ E-mail: _________________________

Gift inMemory of:

 __________________________________________

Gift in Honor of:

 __________________________________________

I would like to give $_______________ to the Capital Program Development & Endowment Campaign

_____ I am enclosing a check or money order for my donation

_____ Please charge my donation to my credit card:

_____ Visa _____MasterCard _____Discover _____Am.Express

Card Number:________________________________ Exp. Date:_________________________

I would like to be billed for my donation. Please bill me $_________ Monthly or Yearly (please circle one)

for _____ (number) of years or months.

Please print this form, fill it out & return it with your donation to:

The Mason City Foundation ~ 308 S. Pennsylvania Ave. ~ Mason City, IA 50401