Our 47th Season!

Cooperstown Concert Series DONOR FORM

Many arts organizations are establishing email lists in an effort to better inform their donors and subscribers about their performances and other events. Emailing information about upcoming concerts saves hundreds of dollars each season in printing and postage costs. We promise never to share your email address, nor will we overburden your inbox.

Please help us join the 21st Century! Print this form and please make checks payable to the Cooperstown Concert Series and mail with this form to PO Box 624, Cooperstown, NY 13326. For more information, please call us at 607-547-1812 or visit us at www.cooperstownconcertseries.org.

Name:____________________________________  (as you wish it to be listed)

 ____ I/We wish to remain anonymous (pls. check)

Address:__________________________________ __________________________________

Phone: (day)______________ (eve)_____________

E-mail:____________________________________

Please indicate your contribution level:

___Benefactor ($1000+) ___Donor ($100-249) ___Patron ($500-999) ___Sponsor ($50-99)

___Sustaining ($250-499) ___Friend ($1-49)

Note: Gifts are tax-deductible to the extent allowed by law.

Payment by: ___Check ___Mastercard ___Visa

Card#________-_______-_______-_______Exp. Date:___________ 3-digit security code_____

I hereby authorize the use of my credit card and guarantee payment

Signature:_________________________________

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