NEW MEXICO STATE UNIVERSITY
DEPARTMENT OF MUSIC
NEW PIANO DONATION FORM
NMSU logo

Name _____________________________________
Mailing Address _____________________________________
City/State/Zip _____________________________________
Home Telephone _____________________________________
Email address _____________________________________

___Yes! I/We want to help NMSU purchase a new nine-foot Steinway grand piano.
Please reserve _____ key(s) for me/us at $1,000 each.

___ I/We would like to sponsor the following key(s): _______________________
(Note: Keys will be assigned on a first-come, first-served basis.)

Name(s) to be engraved on piano key(s) on the plaque in the Music Center lobby:
___________________________________________________________________

___I/We wish to remain anonymous

___Yes! I/We are unable to sponsor a key, but want to help NMSU
purchase a new nine-foot Steinway grand piano with a gift of:

$750$500$250$100Other: $________

___Enclosed is a check payable to the NMSU Foundation

___Please charge my Visa/MasterCard/Discover
Card #: ____________________________
Expiration Date: ______________________
Signature: ___________________________

___I/My spouse work(s) for a matching gift company.
I/We have enclosed a matching gift form.
Name of Company: ______________________
Amount to Match: $_____________________

RETURN TO: Greg Fant
Department of Music
New Mexico State University
P.O. Box 30001, MSC 3F
Las Cruces, NM 88003