Old Songs, Inc.
Charitable
Contributions - General Operating Fund
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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:_____________________________________________
             (for early news of events)

• Enclosed is my donation of  $_________
Enclose check or money order made out to Old Songs, Inc.

• Please charge my contribution of $_________
Supply credit card information below.

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

CREDIT CARD INFORMATION:     Mastercard____   VISA____

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