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. 02170

Prices on above items are subject to change. All proceeds go to The Richard A. Frye Fund
If you require additional information, see
www.rolart.com or call Roland Cosby at 617-277-0579 or email Rolandc112@aol.com