| Name
_________________________________________
Address _________________________________________
City, State &
ZIP Code
_________________________________________
Amount $_________________ Check # ______________
I proudly support The Lebanon Community Concert Band as
a patron in the following category:
_____ Sustainer $500.00
& over
_____ Benefactor $250.00 -
$499.00
_____ Sponsor
$100.00 - $249.00
_____
Donor
$50.00 - $99.00
_____
Friend
$10.00 - $49.00
|