Back to:  OceanStatePercussion.com Home Page

1) Click Here to print out this form.
2) Fill out the form: Tell us whether you are making a donation and need a ticket (section A) 
or just making a donation. (section B)
3) Make Check or Money Order payable to: Ocean State Percussion Benefit
4) Send the Check or International Money Order to:
(If you need tickets sent back to you including a Self Addressed Stamped Envelope would be helpful but is not required.)
Ocean State Percussion Benefit
P.O.Box 366
Manville RI 02838

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"section A"
I would like to make a donation and NEED tickets!!

Name:_______________________________________

Street Address:________________________________

City or Town:_________________________________

State or Province_____________________Zip Code__________

Country______________________________________
(donations for tickets are minimum $15.00USD for each ticket)
I Need_____ Tickets X $15.00USD each =Total $________._____USD
(DON'T LOOSE YOUR TICKETS AS WE WILL NOT BE ABLE TO RE-ISSUE THEM!!)
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"section B"
I would like to make a donation but DO NOT NEED TICKETS!!
(donations have no minimum amount, only what you can afford)
My Check or Money Order donation in the amount of $________._____USD
(With our thanks for your generosity up front!!)

SORRY, ALL DONATIONS ARE NON-REFUNDABLE!!

This page is an effort of SaladRecords.com.
Questions about this page?? Click to email Butch L.Bell  for answers.