Luther Allison Endowment Fund

Print out this form, complete and mail with dontation per addresss below

Luther Allison Endowment Fund Form

qYes! I want to support the Luther Allison Endowment Fund and enclose a donation in the amount of $_________.

qPlease Add my name to your mailing list.

Name _________________________________________

Address _______________________________________

City ____________________ State ________ Zip ______

Telephone# ____________________________________

E-Mail Address _________________________________

Web Site Address _______________________________

So many people we speak with have their own special "Luther Story" . If you do and want to share it, we'd love to know about it and will forward it to the family if you wish.

Comments / My Luther Story:

______________________________________________________

______________________________________________________ (attach extra page if you need more space )

_____Yes, I would like you to forward my comments to the family of Mr. Allison.

Please make check or money order payable to:

The Blues Community Foundation

In the memo section of the check or money order write:

Allison Endowment / TJT

You may wish to note for your own records the Foundation's Tax Exempt number is #36-391055

Mail to:

Luther Allison Endowment Fund

c/o Barbara "Toez" Hammerman

Forever Blues & Bean Hollow Productions

5114-E Pt. Fosdick Rd. NW, #276

Gig Harbor, WA 98335

For More Information : Call 253-858-4435