peace * love * journey * destiny * spirit - "IMAGINE"
WE NEED FUNDING PLEASE MAKE A DONATION FOR OUR FY17 "Show Up Stand Out" Enrichment Intervention Program with Georgia Avenue Family Support Collaborative
I would like to Contribute and/or Sponsor the "YITA-IMAGINE" DC Public Schools Out of School Time Programs
Workshop-Supplies Sponsorship
Workshop-Equipment Sponsorship
Workshop-Staffing Sponsorship
Name of Company & Type
Contact Person & Title
Full Address
Phone (list 2 choices if possible)
Email
Website
I would like to become a Scholarship Sponsor for the Workshops.
$250.00 Special Arts Training
$100.00 Sponsor for Office/Workshop Supplies
$200.00 Sponsor for Office/Workshop Supplies
$500.00 Sponsor for Office/Workshop Supplies
$1000.00 Sponsor for Office/Workshop Supplies
$2000.00 Sponsor for Office/Workshop Supplies
I would like to Contribute to the Workshop in the following amount $________.00.
Yes, I will be able to make the following In-Kind Contribution: (Value Amount)
Please describe your In-Kind Donated Goods for the Workshop, Showcase, Program Finale and/or Celebration.
TOTAL AMOUNT OF CONTRIBUTION OR TOTAL VALUE OF DONATED GOODS
If you were referred by an "YITA-Imagine" Representative, Staff Member, Student or Affiliate please give us their name and their organization name or their staff position.
Authorized Signature:
Please check here if your company requires an invoice or tax-deductible form to process contribution.

You may choose to make your payment online by credit card below.
Please make payable in the form of a Cashier's Check, Money Order or Company Check and make payable to YITA-IMAGINE, Inc.
NAME ON CHECK
BILLING ADDRESS
Check No..
Purchase Order No.
Copy signed application form then mail with payment to:
Youth in the Arts-IMAGINE
c/o 855 Oglethorpe Street, NE
Washington, DC 20011

YOUTH IN THE ARTS-IMAGINE
WASHINGTON DC 20011-2736
EIN:275108166

Youth in the Arts – IMAGINE is proud to partner with Goodshop to help raise funding for our programs and save you money at the same time. When you use the free service to shop in any of your favorite online retailers, we will receive a portion of what you spend, and you can enjoy deals like
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downloading the
SOUVENIR PROGRAM BOOK AD APPLICATION

please contact:

YITA-IMAGINE Marketing Department
yita-imagine@hotmail.com