SAR Academy Sponsorship Opportunities

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Sponsorship Opportunities Order Form – Please return this form to: Rachel Spinner, SAR, 655 West 254th Street, Riverdale, NY 10471 or e-mail: spinner@saracademy.org From:__________________________________________ Sponsorship:____________________________________

Alumni Information Please enter your graduation year (Optional):

Amount: $_____________________________________

SAR High School:_ _________ SAR Academy:_________

Dedication Information Is this gift to Honor or Remember someone?  Honor  Memory

Acknowledgment Please send acknowledgement of our contribution:

Full Name______________________________________

To:____________________________________________

Payment Information  Master Card  Visa  American Express

Address:_ ______________________________________

CC#:__________________________________________ Expiration Date:___________ Security Code:__________ Name on Credit Card:_ __________________________ Address:_ ______________________________________ City:_______________________ State:______ Zip:______

SPONSORSHIP OPPORTUNITIES SAR ACADEMY 2012-2013

From:__________________________________________

City:_______________________ State:______ Zip:______ Comments:_____________________________________ ______________________________________________ ______________________________________________ ______________________________________________

E-mail:________________________________________

Please send a confirmation email to this address:

Phone:______________________________ Ext:________

______________________________________________

655 West 254th Street • Riverdale, NY 10471 718.548.1717 • www.saracademy.org


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