Imagination Library Donation Form

Thank you for your investment in the

Wood Buffalo Dolly Parton's Imagination Library.

Company/Sponsor Name:
Contact Name:
Mailing Address:
City:
Province:
Postal Code:
Phone:
Fax:
E-mail:
Here is what your investment will give to you ....
$25,000 + Logo on registration brochure and banner Recognition in newspaper/radio advertising Recognition on website* Use of Imagination Library Logo Charitable Donations Receipt
$10,000 - $24,999 Logo on registration brochure and banner Recognition in newspaper advertising Recognition on website* Use of Imagination Library Logo Charitable Donations Receipt
$5,000 - $9,999 Recognition in newspaper Recognition on website* Use of Imagination Library Logo Charitable Donations Receipt
$1,000 - $4,999 Recognition on website* Use of Imagination Library Logo Charitable Donations Receipt
Friend of the Imagination Library Receipts issued for donations $20+
Sponsorship of a Child Commitment of $45 per year for 5 years Recognition on website* Charitable Donations Receipt
Sponsorship of your Employees Children Commitment of $45 per year for 5 years for eligible children within your company Recognition will correspond with the above donor levels.
Value of this year's investment:
If you would like to invest on a yearly basis, please indicated your yearly investment amount and number of years. We will contact you for your renewal! (Yearly investment amount) (# of year's you are committed to)
Payment Method:
Credit Card:	Visa Master Card
Card Number:
Expiry Date:
Invoice me please! same address as above	(if different than above)