THE FRYE FOUNDATION
THE LANTANA EVENT
Please reserve the following item(s) for me.
t-shirts $15. – CDs $IO. – DVDs $10. - l "Memorial Binder"$135.
Total "Memorial" Package $150. ___ (includes a specially designed binder which contains (2)CDs, (2)DVDs, (1)tee shirt, artwork, photos, writings)
T SHIRT(s) ____ CD(s)___ DVD(s)___
Total $________
ADDITIONAL SUPPORT AMOUNTS
I would like to enclose a tax-deductible contribution of $_____
Supporter $50-99 Sustainer $100-249 Contributor $250-500
Benefactor $500+
(Contributions at the above levels will be acknowledged in the Frye "Memorial")
TOTAL ENCLOSED $________
Name_____________________________________________________
Address____________________________________________________
City_______________State________Zip_______
Telephone_________________E-mail_____________________________
Please send this form with your check payable to:
THE FRYE FUND
C/O PAULA FRYE
738 HANCOCK STREET
QUINCY MA.
02170Prices on above items are subject to change.
All proceeds go to The Richard A. Frye Fund
If you require additional information, see
