Donation I am donating as: An individual or family A company or organization In honor of someone I prefer to remain anonymous Name of donor Email address Phone number Type of institution: Public school Prison Juvenile detention center Orphanage Music Student Name of Institution to receive if any Contact person at the facility and telephone Dedication message (to receiver) May we publicly thank you? Yes, please share my name and message on your website/social media Only my first name / company name No, keep it private Preferred instrument type Upright acoustic piano Grand piano Digital piano Portable piano keyboard Guitar Other Approximate budget (optional): Under $1,000 $1,000 – $3,000 $3,000 – $6,000 $6,000+ Would you like us to include one year of tuning/maintenance? Yes – please add to my total No thank you ( If you want to make a contribution towards an instrument instead) - Contribute Any Amount Toward an Instrument Contribution details Contribution Amount: I understand that after submitting this form, I will choose and pay for the exact instrument in the shop. The donation will only be delivered after successful payment. I agree to the processing of my data for the purpose of fulfilling this donation. (Privacy Policy link) Submit Donation Form
