___ I would like to Adopt-a-Home for a year. Enclosed is $1,700
for the sponsorship of a monthly Merrymakers performance for an
entire year at a selected nursing home. List
of Available Homes.
Please select a
facility for my sponsorship
I would like to
sponsor ________________________________
For
$150, I would like to sponsor a performance in _____honor or
_____memory of: ______________________________________ at the
following facility ____________________________________. Please contact me with a schedule
of performance dates.
Enclosed is my tax
deductible gift of __ $25 __$50 __$100
Donor
Information:
Name:
____________________________________________
Address:
____________________________________________
City/ST/Zip
____________________________________________
Phone:
____________________________________________
Email:
____________________________________________
Please
hold reservations
under the name:
____________________________
Mail To:
Please print the
completed form and send along with payment to:
Merrymakers
Association 11213 Davenport Street
Suite 201
Omaha, Nebraska 68154
