Please print this form, fill out and send! I would like to be a Founding Member of the Stephen Stills Children’s Music Project: Conductor $100,000 Band Leader $50,000 Benefactor $10,000 Sponsor $5,000 Friend $1,000 Music Student $100.00 Other $__________ Please accept my contribution of ___________ Please make check payable to: The Stephen Stills Fund at Tides Center Mail To: Stephen Stills Children’s Music Project 29201 Heathercliff Road, Suite 153 Malibu, California 90265 Phone: (310) 457-4244 Fax: (310) 457-3394 Name __________________________________________ Address _________________________________________ Phone __________________________________________ Fax ____________________________________________ E-Mail __________________________________________ The Tides Center is a 501-C-3 Non-profit organization. Your contribution is tax deductible.