53-19 195th Street Yes! I want to become a patron of Melody of Dragon
Fresh Meadows, NY 11365 to support having more concerts and education programs.
Enclosed is my fully tax-deductible contribution:
____ Friend $20 - $49 ____ Supporter $150 - 299
____ Contributor $50 - $149 ____ Donor $300 & Up
Name: __________________________________
Address: __________________________________
_________________________________________
Email: _____________________________________
Phone/Fax: __________________________________
Please make your check payable to "Melody of Dragon, Inc." and mail it to the address above.