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Online Event Patron Agreement
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Patron's Name)s)
*
Please enter what you would like printed on your tax deduction receipt, program the event program or advertising
Agrees to provide a donation in patronage at the following MnBS Event:
Choose an event:
*
Minnesota Blues Society Hall of Fame October Ceremony
Minnesota Blues Society Hall of Fame December Ceremony
Minnesota Blues Society Annual Picnic
Minnesota Blues Society Holiday Party
Personal or Business Phone
*
Mailing Address
*
Address Line 1
Address Line 2
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We will use this to send you a receipt for tax purposes
Personal or Business Email Address"
*
for record keeping purposes only
The patronage I would like to provide is:
*
"Blues Lover"
"Blues in Your Heart"
"Blues in Your Soul"
Your patronage donation will be collected through PayPal at the end of this form
Patronage Amount
*
Submit through PayPal