Please print this form and mail with your check to:

Prime Time Band
P.O. Box 92055
Santa Barbara, CA 93190-2055

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Yes, I would like to make a donation to the Prime Time Band.

Name: _______________________________________________________

Address: _____________________________________________________

Address 2: ___________________________________________________

City/State/Zip: _______________________________________________

Telephone: ___________________________________________________

Donation Amount: __________________________________

Please keep my donation anonymous. If not checked, name may be listed as a donor in programs.

Cut on the line above and keep for your records

Donation made to the Prime Time Band

Date:  ___________________________________

Amount: __________________________________

Tax number available upon request (Contact Band Manager under "Other Links" page)