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: 

Method of Payment...  Check  Bill me   

Signature: ________________________________

 

    

Bernie Powers Band Foundation

 P.O. Box 183, Sun Prairie, WI 53590

www.bpbf.org

 

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