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Mail form to: |
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DeBence Antique Music
World |
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1261 Liberty St |
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Franklin PA
16323 |
Yes, include me in the DeBence Antique Music World sustaining membership family.
Many hands make light work. Together we can keep the music playing.
Enclosed is my tax deductible donation via check or credit card.
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Individual Membership (Free
admissions for one year)
This pays the utility bill for 38 hours |
$35 |
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Family Membership (Admission
for up to 4 family members for one year)
This pays our mailing costs for 25 days |
$50 |
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Edison Club Membership (Admission
for up to 4 for one year plus one CD)
This pays for 60 days of supplies to repair machines (We do the work ourselves) |
$100 |
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Music Box Club (Admission for up to 4 for one year plus two CD's)
This pays the interest on the elevator loan for 28 days |
$250 |
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Nickelodeon Club (Admission for up to 6 for one year plus two CD's)
This pays for 48 days of insurance |
$500 |
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Calliope Club (Admission for up to 6 for one year plus special benefits)
This pays for the security system for one year |
$1,000 |
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| (Please
include name of honoree and name of person to receive acknowledgement if
other than yourself). |
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| Donation in other amounts will be gratefully accepted. |
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Name _____________________________________________________________
Address ___________________________________________________________
City ______________________________ State
________________ Zip _______
Phone email ______________________________
Card Type (Circle one) M/C or Visa ____Card Number_________________________
Expiration Date _______ Cardholder please sign here__________________________
Security Code (from back of card) ________________________________________
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