Old Songs Contribution Form

Old Songs, Inc.
Charitable Contributions - General Operating Fund
Print from your browser and mail to:
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

CREDIT CARD INFORMATION: Mastercard____ VISA____
Card No: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Exp Date: ____ /____
Cardholder's Signature