Oskaloosa Band Foundation

Pledge Form

Print form and send to address below    Thank You!!

Yes, I'd like to support the future of the Oskaloosa High School Band!

Name: Last                                             First                                           MI                

Address: Street                                        City                           State          Zip              

Daytime phone (     )                          Evening Ph: (     )                                    

Please indicate total amount of donation:                                             

Levels of Giving:

• First Chair .....................  .....$250-$999

• Section Leader ................$1,000-$2,999

• Field Commander ............ $3,000-$8,999

• Director .......................    ..$9,000-over

Please check the following that apply to your giving:

◊ I wish to make a one-time donation.  Enclosed please find $                           

   I would like to honor my pledge over:

    ◊ 1 year                 ◊ 2 years                    ◊ 3 years

◊ I wish to be recognized for my gift to the Oskaloosa Band Foundation.

    Please list donor as Follows:_____________________________________________________

◊ In Honor of _________________________  ◊ In Memory of ___________________________

◊ I wish my gift to remain anonymous

Select a method of payment:

◊ Cash                    ◊ Check

Your contribution doesn't just make a difference, it makes the difference.

Please mail your completed form to:

Deb Beach (Treasurer)

Oskaloosa Band Foundation

2423 McMullin Dr.

Oskaloosa, IA  52577

If you have any questions, please contact: Al Paulson, Oskaloosa High School  (641) 673-3407