BPBF Donation Form

Count on my support to leave a legacy…

Please fill in this form, then print it and mail it to:

Bernie Powers Band Foundation, P.O. Box 183, Sun Prairie, WI 53590.

Thank you for your support!

Please accept my enclosed gift:

$50 "Friend"

$100 "Section Leader"

$500 "Drum Major"

$1,000"Director"

Other:

In memory / appreciation / on behalf of:

Name:

Address:

City: State:

Zip: Email:

Signature: ________________________________

Bernie Powers Band Foundation

P.O. Box 183, Sun Prairie, WI 53590