8-Year Old Child Violin Prodigy Brianna Kahane

Brianna's "Bring Music Back to Haiti" Initiative: Non-Monetary Donation Form

If you wish to make a non-monetary donation to Mr. Joseph's New Victorian Music School Reconstruction Fund, please take a moment to fill out both the donation and contact information below:

First Name:

Last Name:

Company:

Street:

City:

State:

Phone :	(xxx-xxx-xxxx)

Fax::	(xxx-xxx-xxxx)

E-mail:

I wish to donate the following:

Instrument(s) / Sheet Music (Please Describe)

School Supplies (Please Describe)

Building Materials (Please Describe)

Valuable Item(s) for Auction (Please Describe)


Thank you for your generosity.