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