​CONTRIBUTION FORM
 
TAX-DEDUCTIBLE CONTRIBUTION TO:
FRIENDS OF NORTH SHORE SYMPHONY ORCHESTRA

PLEASE PRINT CLEARLY
 
Name            

Address         

City State Zip

E-mail           

Phone            

Friend $10-$24                        

Patron $300-$499                   

Donor $25-$99                        

Benefactor $500-$999           

Sponsor $100-$299                 

Golden Circle $1000+              

Enclosed is my total contribution in the amount of $__________________________.

________ I do not wish my name to appear as a contributor in the NSSO program.

If your employer has a program to match charitable gifts by employees, please let us know how to request a matching gift.

Friends of NSSO is a tax-exempt corporation under 501(c)(3) of the IRS tax code; all contributions are tax-deductible.

Send check payable to:
Friends of North Shore Symphony Orchestra
PO Box 419
Greenvale, NY 11548-0419