Old Songs, Inc.
Charitable Contributions
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Old Songs, Inc., PO Box 466, Voorheesville, NY 12186-0466
E-mail: oldsongs@oldsongs.org
For INFORMATION: 518-765-2815 •  FAX: 518-765-4248

Home Address: (Please print)

Name______________________________________________

Address:____________________________________________

City:________________________State_____ZIP___________

Phone: _____________________________________________

E-mail:_____________________________________________

 

  • Enclosed is my donation of  $_________
    Enclose check or money order made out to Old Songs, Inc.
  • Please direct my donation to:
    __ Annual fund for general program
    __ "Save Our Necks" campaign Festival fund
    __ Capital fund for building maintenance
  • Please charge my contribution of $_________
     Supply credit card information below.

(All donations are tax deductible to the extent of the law)

 

CREDIT CARD INFORMATION:     MC____   VISA____   Discover____

Card No:   __  __  __  __      __  __  __  __      __  __  __  __       __  __  __  __            Exp Date:  ____ /____                 

Cardholder's Signature 
Mail to: Old Songs, Inc., PO Box 466, Voorheesville, NY 12186-0466
or fax charges to: (518) 765-4248