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YES! I would like to support EPSA.
If you wish to make a donation, please print this form mail it in to
EPSA. Thank you!!
You may also make a donation using your credit card via paypal by clicking on the Make a Donation box below! In the payment for box, please type in your name so I know who the donation is from! If you would not like your name listed in the concert program put anonymous next to your name! Thank you so much! □ $5000 Diamond Circle □ $250 Patron □ $2500 Gold Circle □ $100 Donor □ $1000 Silver Circle □ $50 Friend □ $500 Bronze Circle □ Other __________
Name______________________________________________ Address_____________________________________________ City______________________ State_______ Zip____________ Phone______________________________________________ □ Please do not list my name in concert programs
□My employer will match my gift Name of Employer ___________________________________ □My Check payable to EPSA is enclosed □Please accept my/our pledge of $_____________________ Made payable in the month of _____________________________
Please use my contribution specifically for: □ General Operating □ Scholarship Instruments □General Scholarships □ Guest Conductors/workshops □ Tour Scholarships □ No Preferences
Eden Prairie String Academy 10663 Lee Drive, Eden Prairie, MN 55347 952-947-9400 www.epstringacademy.org
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