Donation Information

Please complete the form below and click on "Submit Donation" to make your tax-deductible donation.

To submit this form, all "*" fields must be filled in.

$10,000 - President's Circle

$5,000 -- Director's Circle

$2,000 - Benefactor's Circle

$1,000 - Underwriter's Circle

$500 - Supporter

$250 - Contributor

$100 - Partner

Other $ (No Commas Needed)

Salutation

First Name*

Last Name*

Address*

City*

State*

Zip*

Phone*

Email*

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Payment Info

Acknowledgement

For all donations, please list your name(s) as you would like it to appear in our program listings (separated by commas)

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I would like this donation to remain anonymous

Dedication Information (Optional)

Dedication Type

Dedication Honoree Name

Personal note to be included with donation

Dedication Acknowledgment Information

Acknowledge by

First Name

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Address

Other Ways to Give

Give by Phone

You can make a gift by calling

Chesapeake Music's office at

410-819-0380

Give by Mail

You can also give by printing this form and mailing to:

Chesapeake Music

PO Box 461

Easton, MD 21601