Yes, I want to support Indian Hill Music

Please complete the form below and click on "Submit Donation" to make your tax-deductible donation.

To submit this form, all "*" fields must be filled in.

1-Level of Giving

Level of Giving*

Supporter (<$100)

Friend ($100+)

Partner ($600+)

Patron ($1,500+)

Benefactor ($2,500+)

Concertmaster ($5,000+)

Other

**For gifts over $10,000 or gifts of securities, please contact Catherine Coleman at (978) 486-9524 x127 or catherine@indianhillmusic.org

My Total Contribution*

My company has a matching gift program. I will submit the appropriate form to Indian Hill from my employer.

Company Name

If you would like information about becoming a member of MusicLovers, our monthly giving program, please contact Mary Leahy at x107 or mary@indianhillmusic.org

2-Please Enter Your Personal Information

Salutation Mr. Ms. Mrs. Dr. Prof. Rep. Rev.

First Name*

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Address*

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State* UNITED STATES Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming CANADA Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

Zip*

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Email*

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3-Acknowledgement

For all donations, please list your name(s) as you would like it to appear in our program listings

Name(s) to acknowledge

I would like this donation to remain anonymous

4-Please Enter Your Payment Information

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Expiration Month* 1 2 3 4 5 6 7 8 9 10 11 12

Expiration Year* 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027

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Comments

Indian Hill Music is a 501(c)(3) not-for-profit organization. Your donation is tax-deductible to the fullest extent allowed by law.