peace * love * journey * destiny * spirit - "IMAGINE"
WE NEED FUNDING PLEASE MAKE A DONATION FOR OUR Show Up Stand Out Enrichment Intervention Program to Reduce Truancy in DC Schools with GAFSC.
I would like to Contribute and/or Sponsor the "CLUB IMAGINE" DC Justice Department SHOW UP, STAND OUT Program
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/Instructor
$100.00 Sponsor for Workshop Supplies/Equipment
$200.00 Sponsor for Workshop Supplies/Equipment
$500.00 Sponsor for Workshop Supplies/Equipment
$1000.00 Sponsor for Workshop Supplies/Equipment
$2000.00 Sponsor for Workshop Supplies/Equipment
$5000.00 Sponsor for Workshop Supplies/Equipment
I would like to Contribute to "Club Imagine" in the following amount $________.00.
Yes, I will be able to make the following In-Kind Contribution to "Club Imagine": (Value Amount)
Please describe your In-Kind Donated Goods for "Club Imagine".
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 and/or their staff position.
Authorized Signature:
Please check here if your company requires an invoice or tax-deductible form to process contribution.

Please make payable in the form of a Cashier's Check, Money Order or Company Check and make payable to YITA-IMAGINE, Inc.
Or you may choose to make your payment online by credit card below.
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


PLEASE


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SOUVENIR PROGRAM BOOK AD APPLICATION

please contact:
YITA-IMAGINE Marketing Department
yita-imagine@hotmail.com