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The Sculptors Gala
Sculptors Dominion International, Inc., 501c3, Federal ID #20-4378229

Copy/Mail This Form To: The Sculptors Gala, 11354 Vance Jackson Rd., San Antonio, Texas 78230
or gilbertebarrera@gmail.com * 210.696.9813 * 210.413.0498


SPONSOR / CONTRIBUTOR FORM


Name __________________________________________________________________________

Position __________________________________________________________________________

Company __________________________________________________________________________

Mail Address __________________________________________________________________________

City State Zip __________________________________________________________________________

Phone __________________________________________________________________________

Email __________________________________________________________________________

Fax __________________________________________________________________________

Signature/ Date __________________________________________________________________________

 

ENCLOSED IS MY DONATION OR PLEDGE
_____ I am sending a check now and copy of this form
_____ I am pledging now to send a check for $_______, please call me in January
_____ I am unable to attend but will make a straight contribution


DESCRIPTION OF SPONSORSHIP OR CONTRIBUTION
QTY           ITEM           DONATION
______   Table(s) at        $ ________  
______   Chair(s) at               $ ________  
______   Program ad at             $ ________  
______   Straight Contribution at $ ________ 
 

INCLUDED ARE THE NAMES OF ME AND GUESTS I WILL BRING.
1.                                                                                              5.
2.                                                                                              6.
3.                                                                                              7.
4.                                                                                              8.

Further Description or Notes....

 

 


Make checks payable to
‘Sculptors Dominion International, Inc. 501c3’ 11354 Vance Jackson Rd. San Antonio, Texas 78230
*210.696-9813