|Print out this form, complete and mail with dontation per addresss below|
|Luther Allison Endowment Fund Form|
qYes! I want to support the Luther Allison Endowment Fund and enclose a donation in the amount of $_________.
qPlease Add my name to your mailing list.
City ____________________ State ________ Zip ______
E-Mail Address _________________________________
Web Site Address _______________________________
So many people we speak with have their own special "Luther Story" . If you do and want to share it, we'd love to know about it and will forward it to the family if you wish.
Comments / My Luther Story:
______________________________________________________ (attach extra page if you need more space )
_____Yes, I would like you to forward my comments to the family of Mr. Allison.
check or money order payable to:
|The Blues Community Foundation|
|In the memo section of the check or money order write:|
|Allison Endowment / TJT|
|You may wish to note for your own records the Foundation's Tax Exempt number is #36-391055|
|Luther Allison Endowment Fund|
|c/o Barbara "Toez" Hammerman|
|Bean Hollow Productions|
|P. O. Box 747|
|Pescadero, California 94060|
|For More Information: Call 1-888-661-4371|
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