Claire Bates Music - CSA Sign-Up
Complete this form to receive inbox deliveries of fresh, consistent nourishment through song.
Contact Info
Name
*
First Name
Last Name
Email
*
Confirmation Email
example@example.com
Zip Code (optional)
so I can send you notice when I am performing in your neighborhood.
Phone Number (optional)
Song CSA Option
Which option would you like to choose?
*
Full Share (a handful of songs each month for one year)
Half Share (a handful of songs bimonthly for one year)
One Trial Month (a handful of songs for one month)
How would you like to provide support? (choose as many as apply)
*
Monetary (you set the amount)
Goods or Services
Free (join without providing support at this time)
Other
What approach works best for you?
*
sending a check through the mail
completing an online donation through Paypal
What sort of goods or services would you like to provide? How could you envision this happening?
*
Anything else you could share about your idea for providing support?
Is this a gift order for someone else (rather than for yourself)?
Yes, it's a gift order
No, it's for me
Recipient Email Address
*
Confirmation Email
example@example.com
Recipient Name (optional)
First Name
Last Name
Recipient Zip Code (optional)
so I can send them notice when I am performing in their neighborhood.
Would you like your order to start a different month than this one?
This month is fine
Other
Any other details you would like me to know about your order?
Paypal Donation
Submit
If you encounter difficulty placing your order, email me at
clairebatesmusic@gmail.com
.
Should be Empty: