Chelsea

opera

DONATION FORM

(Please fill in your name and address below)

Name:

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Home Address:

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City/State/Zip:

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Company:

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Address:

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City/State/Zip:

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Home Phone: Cell Phone:

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Business Phone:

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Email:

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Amount of Donation:__________________

Please mail this form along with your donation to:
Chelsea Opera - P.O. Box 277 - Old Chelsea Station, New York , NY 10011

All donations and contributions to Chelsea Opera are tax-deductible. Please consider obtaining a matching gift from your employer and enclose this form with your gift.