layout DONATION FORM (Please complete by printing your info below)

replica Panerai Luminor 1950

Name:

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Home Address:

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City/State/Zip:

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Company:

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Address:

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City/State/Zip:

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Home Phone: Cell Phone:

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Business Phone:

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Amount of Donation: $_________________
Please consider obtaining a matching gift from your employer and enclose this form with your gift.

Please mail this form along with your check made payable to Chelsea Opera to:

Chelsea Opera - P.O. Box 277 - Old Chelsea Station, New York, NY 10113-0277

Chelsea Opera is a 501(c)(3) non-profit organization. Your contribution is tax-deductible to the extent allowed by law.
No goods or services were provided in exchange for your generous donation.
A copy of Chelsea Opera's current IRS Form 990 is available upon request,
or from the New York State Attorney General's Office, Charities Bureau.

212-260-1796 or 917-912-3778
chelseaopera@aol.com
www.chelseaopera.org