Instrument Donation Interest Form
Your Name *
Your answer
Your E-mail Address *
Your answer
City/State Where You Live *
Your answer
Instrument(s) You Wish to Donate *
We accept instruments in playing condition. Please describe the instrument(s) you wish to donate (size, year, make, condition.)
Your answer
Estimated Value of Instrument(s) *
Please estimate the value of the instrument(s) you wish to donate.
Your answer
Will you help defray the costs of shipping the instrument to Haiti? *
Will you donate funds to sponsor music lessons for a Haitian student on the instrument you donate? *
Submit
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