Name *

First Name

Last Name

Address *

Address 1

Address 2

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Phone *

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Preferred Method of Contact *

How would you like us to reach out in regards to fulfilling your pledge?

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Pledge Amount *

How much are you pledging in support of reopening Jazz Standard?

$10,000

$25,000

$50,000

$100,000

$250,000

$500,000

$750,000

$1,000,000