DONATION FORM

1. Make your check payable to The Field*
(earmarked for Maxine Steinman & Dancers) and mail to:
Maxine Steinman
1115 Quentin Rd. #3R
Brooklyn, NY 11229

2. Fill out and SUBMIT this form.

First Name:

Last Name:

Street Address:

City, State, Zip:

Phone: Cell:

e-mail:


Amount Donated:

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THANK YOU for supporting us!

 


*The Field is a not-for-profit, tax-exempt, 501(c)(3) organization serving the New York City performing arts community.  Contributions made to The Field and earmarked for Maxine Steinman & Dancers  are tax deductible to the extent allowed by law.  For more information about The Field contact:  The Field, 161 6th Avenue, New York NY 10013, (212)691-6969, fax: (212)255-2053, www.thefield.org. e-mail:  info@thefield.org.  A copy of The Field's latest annual report may be obtained, upon request, from The Field or from the Office of the Attorney General, Charities Bureau, 120 Broadway, New York, NY 10271.

Copyright 2006 Maxine Steinman & Dancers.