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Donation Form

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Your support and generosity is vital to our future. Thank You!
I wish to support City Center Ballet Inc. with a tax-deductible contribution.
Friend $25-$99
Patron $100-$249
Sustainer $250-$499
Benefactor $500 and up

$___________ Amount of Contribution*
  Please do not include my name in the program listing under the category checked above.

Name _____________________________________
Address _____________________________________
City _____________________________________
State _____________________________________
Zip _____________________________________
Telephone _____________________________________
   

Please make check payable to:
City Center Ballet, Inc.
Post Office Box 66
Lebanon, NH 03766


*City Center Ballet, Inc, is a charitable organization (Federal ID # 02-0510635) exempt from taxation under section 510(c)(3) of the Internal Revenue Service code. All donations, except for the value of tickets or goods provided, are tax-deductible to the full extent allowed by law.

City Center Ballet, Inc. • P.O. Box 66 • Lebanon, NH 03766 • 603/448-9710

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Page Last Updated: 09/10/08