Membership Form

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handprintI would love to support the project.

Name _______________________________________________________________________________________

Address _____________________________________________________________________________________

Phone ______________________________________________________________________________________

Amount $ ____________________________________________________________________________________

email _______________________________________________________________________________________

You may contribute your tax deductible donation by check or credit card.
Please make checks out to The Elders Drum Project.

VISA/MC
Name _______________________________________________________________________________________

Card #_______________________________________________________________________________________

Exp. date _____________________________________________________________________________________

Print out this form and mail it to:

The Elders Drum Project Inc.,
PO Box 250
Rosendale, NY 12472

or visit us at the Drum Depot at 413 Main St., Rosendale

Thank You for your support!

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PO Box 250. Rosendale NY 12472 • 845-658-4136
©2005 Elders Drum Project Inc.