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The Friends of the New Cumberland Town Band Foundation

Name (s) ___________________________ E-Mail______________________ Date__________

Address____________________________________ Phone #__________________________

Please check your Contribution Level:
__ Whole Note   $500 and above                                  __ Eighth Note $50-$99
__ Half Note        $250-$499                                           __ Sixteenth Note $25-$49
__ Quarter Note  $100-$249                                           __ Thirty Second Note up to $24    

Donations and pledges can be recognized with your name listed in the New Cumberland Town Band Season
Program and on our web site.  If you wish to be recognized differently than listed above, please indicate so here.



Checks should be made out to Friends of NCTB Foundation, and sent to:
Friends of the NCTB Foundation
PO Box 209
New Cumberland, PA 17070
If you would like to make a donation to the Friends of the New Cumberland Town Band, please
print and fill out the form below.  
All donations contributed to the Friends of the New Cumberland Town Band Foundation may be tax deductible.
Proceeds directly support the New Cumberland Town Band.  Any questions may be addressed to Bob Romako at
bob@romakocpa.com  or 774-3047. Thank-You!