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| (To print form, go to your "file" menu and select "print") Name: ________________________________ Address: ________________________________ City: ________________________________ State: ______ Zip: ______ Enclosed is my donation in the amount of: $____________ *PLEASE - Make all checks payable to Hospital Audiences Inc. *PLEASE - Write MUSIC THAT HEALS in the memo portion of your check MAIL TO: Music That Heals Attention: Liz Garfield c/o HAI Inc. 548 Broadway, 3rd Floor New York, NY 10012-3950 Thank you for your generosity | ||
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