Yes! I want to support Breath & Shadow's unique and important work. I'm enclosing a tax-deductible contribution of ( ) $25 for 3 copies of the Summer 2005 recordings.
I'm enclosing a tax–deductible contribution of ( ) $20 for 2 copies of the Summer 2005 recordings.
I'm enclosing a tax-deductible contribution of ( ) $10 for 1 copy of the Summer 2005 recordings.
I'm enclosing an additional gift of ( ) $5, ( ) $35, ( ) $50, ( ) $100, ( ) $250, other ( ) $ .
__ I'd like to receive my recordings as CDs.      __ I'd prefer cassette tapes.
__ I have a print disability. (This allows Breath & Shadow to save on postage when we mail you materials.)
__ Don't send me the recording. I'd like my copies to go to someone who cannot afford them, as a gift.

Please make your check or money order out to "ROSC" (Resources for Organizing and Social Change), the 501(c)3 charity of which Breath & Shadow is a project, and type or print your information below.

Name:

Street Address/PO Box:

Town/City, State, Zip:

Email:

Phone (in case of questions):

• Breath & Shadow may thank me for my gift in its monthly email notice
• I wish my gift to be (indicate which) in honor of/in memory of_____________________ (name)
• I wish my gift to be anonymous
• Sponsorship Option:
  Please contact me about how I can become a Sponsor of Breath & Shadow and have my name and organization's URL listed on its Sponsor Page.

Thank you very much for your support!

Please mail this form, along with your payment, to: ROSC, PO Box 776, Monroe, ME 04951.