The Senior Pops Orchestra of Long Island



CONTRIBUTOR INFORMATION (Your personal information is kept confidential)
Last Name:                                            First Name:                   MI:       
Mailing Address:                                                                                      
City:                                         State                    Zip                               
Telephone: Home                      Cell:                        E-mail:                    

Name as it is to appear in acknowledgement material:

                                                                                                                  
I would prefer that this contribution and/or my name be kept confidential. Thanks!

DONATIONS
A One-time Donation, in the Amount of:
 $5,000  $2,500  $1,000  $ 500  $ 350  $100  $50  Other: $
A Repeating Donation, as follows:
A sum of $                      Once Every  Month  Quarter  Year,
Amounting to a Total of $                                                                 
Donation Designation
 Unrestricted
 Restricted forSignature:                                                              

 Check enclosed. Please make checks payable to The SeniorPops Orchestra of Long Island or Donate through PayPal






 




 

The Senior Pops Orchestra of Long Island
P.O. BOX 1473
Melville, N.Y. 11747

Contributions are deemed charitable under section 501(a) of the internal revenue code as an organization described in Section 501(c)(3). U.S. Federal Tax ID 95-3154530. Please consult your accountant for any clarifications.
Payments must be postmarked before the end of the year to be eligible for a tax deduction in that year.
There is no minimum contribution amount.
Please Print and Mail Donation To:
PayPal
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