Ormond Memorial Art Museum and Gardens
2008 Petals and Palettes Sponsorship Form

Name or Contact

  

Corporate Name
(if corporate sponsorship)

  
Address    
City, State, Zip  

_____________________________________
City

____
State

________
Zip
Telephone  

(            ) ________ - ___________________
 Area Code
Please Select Desired Sponsorship Level
Event Underwriter O $5000
Benefactor O $1000
Patron O $500
Friend O $300
Name listing for printed material if different from above:

 

 

Enclosed is my check number

________

in the amount


$____________________
 

Bill my credit card:  

  O MasterCard   O Visa   O American Express

Card Number:  

 __________-__________-_________-_________-_________

Expiration Date: 

  ____________ / ____________ (Month / Year)

Name on card:  

 ____________________________________________ (Please Print)

Signature: 

  _____________________________________________________

Mail form to OMAM, 78 E. Granada Blvd, Ormond Beach, FL 32176
Questions? Call (386) 676-3347
OMAM is a U.S. Code Title 26 Section 501(c)(3) non-profit organization,
registered with the State of Florida Department of Agriculture and Consumer Services.
Registration Number: SC07333.
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This web page was updated on 16-Jan-2008 08:12 PM -0600