DONATION AGREEMENT

Donor Information

First Name:		Last Name:
Address:
City: State: zip:
E-Mail:		Telephone:

Donation

Select one:
$20(suggested) – Parents Only Listing – Enter Name as it should appear below.
$40 – Enter Special Sentiment – (maximum 200 characters) below.
$50 1/4 Page
$75 1/2 Page
$100 Full Page
Message

please send business card, artwork, logo, etc. for ad as JPEG file to dancingdreams09@gmail.com

Deadline for E-Journal is April 1, 2010. Please make checks payable to Dancing Dreams and mail to: Dancing Dreams, PO Box 604973, Bayside, NY 11360-4973

Date: September 5, 2010   

Tear Below----------------------------✄------------------------------------------------

THIS IS YOUR TAX RECEIPT Thank you for your donation of $_______ to Dancing Dreams.

In compliance with Internal Revenue Code Requirements, Dancing Dreams did not provide any goods or services of substantial value to you in consideration of your charitable donation. Dancing Dreams is a 501(c)3 tax exempt organization.

ID # 260797411
Name_____________________________ Date____________