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Musicans Payment Form

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Young at Heart Project

18488 Prospect Rd., Suite #11, Saratoga, Ca. 95070

www.young-at-heart.org

 

 

Date :____________________2011

 

To:  _________________________________

_____________________________________

_____________________________________

_____________________________________

 

From: ____________________________________

Young at Heart Project Musican

Payment is requested for the following

Young At Heart performance.

________________________________________________________________________

 

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your name here, show theme name here

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$ per performance

__________________________________________________________________________

Total $

 

Please make check payable to:

_____________________________________-

name

______________________________________

address

________________________________________

your social security or fed tax # Here

 

Thank You

-----------------------------------------------------------------------------------

your contact information