Contribution to the Galilee Music Center is tax deductible

 

[ ] Pearl         [ ] Bronze     [ ] Silver    [ ] Gold     [  ] Platinum     [ ] Diamond      [ ] Maestra

Name __________________________________________________________________

 

Address:    _____________________________________________________________

 

City  ______________________________ Zip   _________________________

 

Home phone   ______________________Cell Phone _____________________

 

Email    _________________________________________________________

 

May we contact you by email?  [] yes        [  ] No

 

Payment options:

 

[ ] enclosed a check for ₪    ______________________________ made payable to

     Galilee Music Center

Mail to: P.O. Box 10271, Rosh Pinna Israel.

 

[ ] Please bill my credit card for ₪  _________________________

[ ] MasterCard    [ ] Viza    [  ] Isracard

Number _________________________

Expiration Date  ___________________

Signature  _______________________

 [  ] Money transfer

Galilee Music Center

Bank Leumi 

887

Account No. 200119/23

Please make receipt to ________________________________________________________________  

[  ] Name to be listed in programs:  ____________________________ [ ] I wish to remain anonymous.

 

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