Tony Leonardi Double Bass Association

Youngstown State University

Est. 2004

Donor Application

Name_____________________________Phone____________Email________________

Address_________________________________________________________________

City/State/Zip____________________________________________________________

Amount you wish to donate_____________________

Are you a double bass or electric bass player?                                    How many years have you played?

Who did you study with?                                                                         How did you hear about us?

Comments/Questions:

Ten percent of all money raised (including membership dues) goes toward the Tony Leonardi Scholarship in Jazz.

Thank you so much for your support!!!

Please send completed application

and check or money order to:

Tony Leonardi Double Bass Association

YSU Student Activities Office

One University Plaza

Youngstown, Ohio 44555

Please make checks payable to the Tony Leonardi Double Bass Association