Support Holland Symphony Orchestra

Please print out, complete, and mail this form with your check or money order to:

Holland Symphony Orchestra
150 East 8th Street
Holland, MI 49423

Thank you for your support!

Name ________________________________________________________________

Street ________________________________________________________________

City _______________________________ State _____ Zip ________________

Telephone ______________________

E-mail _________________________________
          (must have if electing to receive Donor E-Mail)

Amount Donated __________________________

Please check here if:

_____ I prefer not to be listed publicly as a Holland Symphony Orchestra Supporter
_____ I prefer not to receive the quarterly Donor E-Mail