Donation form...
Count on my support to leave a legacy…
BERNIE POWERS BAND FOUNDATION DONATION FORM
Please print and submit with your donation 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: ________________
Please designate how you would like your donation to be used:
_____ Music Mentors
_____ Music Scholarships (select: Paris Music Scholarship -- Jack Bogle Music Education Scholarship --
Jeff Bogosh Summer Jazz Camp Scholarship -- Marcia Berman SOSP / Percussion Scholarship)
_____ Music Advocacy
_____ Principal Endowment
In memory of / In appreciation of / On behalf of: ________________________________
Your Name: ________________________________________________________
Address: ______________________________________________________
City:__________________________________________ State:_________
ZIP Code:__________
Email:_________________________________________________________
Method of Payment... _____ Enclosed Check _____ Bill me
Please make your check payable to BPBF, Inc.
We are a 501 (c)3 organization. Your donation is tax deductible.
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: ________________
Please designate how you would like your donation to be used:
_____ Music Mentors
_____ Music Scholarships (select: Paris Music Scholarship -- Jack Bogle Music Education Scholarship --
Jeff Bogosh Summer Jazz Camp Scholarship -- Marcia Berman SOSP / Percussion Scholarship)
_____ Music Advocacy
_____ Principal Endowment
In memory of / In appreciation of / On behalf of: ________________________________
Your Name: ________________________________________________________
Address: ______________________________________________________
City:__________________________________________ State:_________
ZIP Code:__________
Email:_________________________________________________________
Method of Payment... _____ Enclosed Check _____ Bill me
Please make your check payable to BPBF, Inc.
We are a 501 (c)3 organization. Your donation is tax deductible.
