Mail-In Support for the Endless Mountains Blues Fest


 Supporter of the Endless Mountains Blues Fest™

Support our charity endeavor and receive a pass to the upcoming fest
we must receive your support by April 1st to qualify for a free concert pass
We will have your name at the gate for your concert admission

money order Payable to:
Scranton/Wilkes Barre Blues Association
Please Mail To: 
Mary Perry
PO Box 99  Elmhurst, Pa. 18416
Please circle one
$15.00 Individual     $25.00 family

Date:__________________

Name or Business Name:____________________________________________________

Address:____________________________        City, State, Zip____________________

Email:(for confirmation)________________________________________required

Phone: __(    )_____________________required

If you are able to volunteer or donate legwork, sell tickets (free pass for high sales), merchandise, give-aways, or grounds services to a  blues fest, please specify here:

_______________________________________________________________________

 

Please sign here _______________________________required



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