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.