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Participate in The Big Beat by Donating Yes! I want to donate to The Big Beat 2011. All proceeds go to Mr. Holland’s Opus Foundation to raise money to support children develop self-esteem and strong learning skills through music and educational programs. Please print, complete and enclose this form with payment to Drum Center of Lexington Attn: The Big Beat 2011. Mail to: Drum Center of Lexington, 132 Southland Drive, Suite 1-B, Lexington, KY 40503. Name: _____________________________________________________________________ Address:____________________________________________________________________ City, State, ZIP Code:__________________________________________________________ Phone Number:_______________________________________________________________ Email Address:_______________________________________________________________ I would like to support MHOF with:

� $500 and more

� $25 to $74

� $250 to $499

� $5 to $24

� $75 to $249

� Other $________

Amount enclosed:_____________________________ Please send an acknowledgment card to: Name:______________________________________________________________________ Address:____________________________________________________________________ City, State, ZIP Code:__________________________________________________________ I’m making a donation by

� Check

� Visa

� MasterCard

Card # : ____________________________________________________________________ Expiration Date: ______________________________________________________________ Signature: ___________________________________________________________________ Mr. Holland's Opus Foundation - A non-profit organization dedicated to promoting music through donations of musical instruments to young musicians. www.mhopus.org Five-Star Drum Shops Group is a non-profit organization of independentlyowned specialty percussion store in North America that are dedicated to advancing the art and science of drumming. www.fivestardrumshops.com


BB Individual Donor Form