THE FRANK ROSOLINO MEMORIAL FUND, INC.
CONTRIBUTION CATEGORIES
( ) STUDENT $ 5
( ) INDIVIDUAL ARTIST $ 10-25
( ) CONTRIBUTOR $ 50
( ) PATRON $ 100
( ) DONOR $ 250
( ) BENEFACTOR $ 500
( ) JAZZ ORGANIZATION _______
( ) BUSINESS/CORPORATION _______
( ) OTHER _______
TOTAL AMOUNT ENCLOSED $___________
PLEASE MAKE CHECKS PAYABLE TO:
THE FRANK ROSOLINO MEMORIAL FUND, INC.
AND MAIL TO
EUGENE E. GRISSOM, EXECUTIVE DIRECTOR
THE FRANK ROSOLINO MEMORIAL FUND, INC.
4607 CLEAR LAKE DRIVE, GAINESVILLE, FL. 32607
THE FRANK ROSOLINO MEMORIAL FUND, INC.IS A 501-C3 NOT FOR PROFIT ORGANIZATION.
CONTRIBUTIONS ARE FULLY TAX DEDUCTIBLE ACCORDING TO IRS RULING GOVERNING
501-C3 ORGANIZATIONS.