Please mail this form to: KENWOOD ACADEMY CONCERT CHOIR Richard Nunley Jr., Director 5015 South Blackstone Avenue • Chicago, IL 60615 Phone: 773-535-1384 E-mail: firstname.lastname@example.org For more information: KENWOOD ACADEMY CONCERT CHOIR Sharon Gray KCCP Vice President Fund-raising Phone: 773-573-6024 • Fax: 773-423-0253 E-mail: email@example.com Website: http://kaconcertchoir.org
KCCP PARTNERSHIP PROGRAM I would like to support Kenwood Academy Concert Choir with a gift of: ❑ $100+ ❑ $500+ ❑ $1,000+ ❑ $3,000+ ❑ $10,000+
❑ Other $______.00
Name(s): ________________________________________________________ Address: ________________________________________________________ City, State, Zip: ___________________________________________________ Phone Number: _(_______)________-____________
Alternate Phone Number: _(_______)________-____________
E-mail address: __________________@__________________________.__________ Is there a specific Kenwood Academy Concert Choir Member you would like to sponsor? ❑ Yes ❑ No If yes, please provide the name of the student: _______________________________________________ Are you a Kenwood Academy High School and/or Kenwood Concert Choir Alumni: ❑ Yes ❑ No If KAHS graduate, year of graduation: _______ and if KCC Alumni, please list former section: __________
PAYMENT INFORMATION ❑ I am enclosing a check/money order made payable to Kenwood Academy Concert Choir. ❑ Please charge my credit/debit card.
❑ Visa ❑ MasterCard ❑ American Express
Card Number: ____________________________
Expiration Date: _____/_____/______
Print Name: _______________________________
Registered PayPal E-mail Address: __________________@__________________________.__________
❑ I prefer to make a secure electronic payment via PayPal™ by visiting the Kenwood Academy Concert Choir website: http://kaconcertchoir.org. Click the “donate to KCC tab” to complete your transaction.
❑ I hereby authorize Kenwood Academy Concert Choir and its representatives the ability to submit my donated pledge
information to a designated corporate entity that will potentially maximize my gift to this organization by equally matching the dollar amount.
❑ I give my permission to list the following name on the KCC website and Spring Music Festival roster of donors: please print name of business organization or individual here: Signature
Thank You in Advance! Your Support is Greatly Appreciated!
Published on Apr 12, 2011
Pledge form for individuals and organization to provide donation information to students who participate in Kenwood Academy Concert. Choir.