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handprintI would love to support the project.

Name ___________________________________________________________________________

Address __________________________________________________________________________

Phone ___________________________________________________________________________

Amount $ _________________________________________________________________________

email ____________________________________________________________________________

You may contribute your tax deductible donation by check or credit card.
Please make checks out to The EldersDrumProject.

VISA/MC
Name ___________________________________________________________________________

Card #___________________________________________________________________________

Exp. date _________________________________________________________________________

Print out this form and mail it to:
The EldersDrumProject Inc.
PO Box 250
Rosendale, NY 12472

Thank You for your support!

©2005 EldersDrumProject Inc. • PO Box 250, Rosendale NY 12472
info@eldersdrumproject.org • 845-658-4136

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