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Become A Member To support The Mother Goose Jazz Bands educational programs, you can contribute directly to The International Association of Jazz Educators. Your gift whether $100 or $1000, will allow The Mother Goose Jazz Band to continue to offer its programs free of charge to thousands of children. All contributions are tax deductible. tax deductible contributions of: ____$25 ____$50____$100____$250_____Other: (List amount :_________) Name:_____________________________________________________________ Address: ___________________________________________________________ ___________________________________________________________________ Phone:______________________________________ Please charge my _____VISA_____ Mastercard Card #_________________________________________Exp. Date:_____________ Card Billing Address___________________________________________________ ___________________________________________________________________ Individuals to be listed with membership:__________________________________ ___________________________________________________________________ Print or fax this form and send with your check or credit card #, payable to: The International
Association of Jazz Educators Fax: (785) 776-6190
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