SUPPORT
KID PAN ALLEY IN
GREENE SCHOOLS

Contact Name: __________________________________________

Business (optional): _______________________________________

Address: _______________________________________________

_______________________________________________________________________________________

Phone #: _______________________

Email contact: ___________________________________________

I wish to sponsor the Kid Pan Alley Program in the Greene County Schools.
Enclosed is $____________

I wish to purchase an ad in the concert program.

(Please attach black and white photo ready art work)

Full Page: $100.00 Half Page: $50.00

Quarter Page: $25.00 Business Card Ad: $20.00

Well Wish Ad: $10.00: Write your message here: _________________

_______________________________________________________________

Please make all checks payable to Greene County Primary School (note-KPA Donation or KPA Ad on check, donations are tax deductible, ads are not) and mail with completed form to:

For more information or questions on this program please contact Carl Schmitt at 985-9815 or e-mail chschmitt@firstnetva,com .