Contributing Member Registration Form
Categories and suggested annual donations:
- Students $10
- Adult $20
- Family $25
- Musician $30
- Business $60
- Patron $100-$500
- Corporate $500 - $1000
My/our gift to support the work of the Indianapolis Jazz Foundation is $ _______
| name | _____________________________________________________________ | ||||
| address | _____________________________________________________________ | ||||
| city | __________________________ | state | _______________ | zip | __________ |
| home phone | _______________________ | daytime phone | ______________ | ||
| fax | _______________________ | ______________ | |||
o In addition to my donation I am interested in volunteering my time!
Artists/Business Friends of IJF may provide a 30-word description to be included on the IJF website. Also, if you have your own website, please provide your web address so we may link to you.
| _____________________________________________________________ |
| _____________________________________________________________ |
| _____________________________________________________________ |
| Website: _____________________________________________ |
Please make your check payable to:
The Indianapolis Jazz Foundation
Please mail your completed form, along with your check, to:
The Indianapolis Jazz Foundation
PO Box 20857
Indianapolis, IN 46220