DONATION FORMS - RECEIPT FOR ITEM

2013 GALA DONATION FORM

 

DONOR INFORMATION

 

DATE:___________________COMPANY:____________________________________________________________

CONTACT NAME:__________________________ADDRESS:_____________________________________________

CITY:  _____________________STATE:________ ZIP:________________PHONE: (___)_______________________

EMAIL:______________________@_________________WEBSITE:_______________________________________

DONATION IS GIVEN BY:  (  )COMPANY  (   ) PERSONAL  (   ) OTHER_____________________________

 

 

MONETARY CONTRIBUTION (CIRCLE AMOUNT)

$25          $50          $75          $100          $250         $500          $1000          OTHER ($_____)

 

IN-KIND ITEM

DESCRIPTION:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

EXPIRATION DATE:_________________________ESTIMATED MARKET VALUE:___________________________________

RESTRICTIONS:______________________________________________________________________________________

 

SPONSORSHIP LEVEL & PAYMENT

DIAMOND LEVEL  $5000

PLATINUM LEVEL $1500

GOLD LEVEL $1000

 

ADVERTISING LEVEL

FULL PAGE BLACK AND WHITE  $300

½ PAGE BLACK AND WHITE   $200

¼ PAGE BLACK AND WHITE   $100

 

PAYMENT:

TOTAL AMOUNT $_________________

CASH

CHECK NUMBER #________________

 

PLEASE RETAIN FOR YOUR RECORDS

TAX ID # 410732177.

 

CHECK PAYABLE TO:

ST ANDREW CATHOLIC SCHOOL

428 IRVING

ELK RIVER, MN 55330

 

Questions? Please call Trish (612) 801-1375 or Sarah (763) 439-8590 or standrewgala@gmail.com

 

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St Andrew Gala,
Jan 5, 2013, 6:35 PM
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