2017-2018 Music Program Donation
Music Sponsorship
Student Name
*
First Name
Last Name
Ensemble
*
Marching Band/Color Guard
Concert Band/Wind Ensemble
Orchestra
Winter Drumline
Jazz Band
Winter Guard
Parent Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Parent Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How would you like the name to appear in the program? e.g. "The Smith Family"
Is this is a Company Match Donation?
*
Yes
No
Company Name
Please fill in if this is a company match
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Music Sponsorship
$
1.00
Sponsorship Level
Amount
Orchestra Patron $400-$449
Symphony Conductor's Circle $450-$549
Marching Maestro $550-$599
Guard & Pageantry Patron $600-$699
Jazz Junkie $700-$799
Drumming Donor $800-$999
Silver Nighthawk $1000-$1499
Golden Nighthawk $1500-$1999
Platinum Nighthawk $2000 & Up
Other
Item subtotal:
$
0.00
Total
$
0.00
Credit Card
Total Due: $
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