My check in
the amount of $ is enclosed /
I will pay my pledge on or before 3 June, 2008. Please invoice me on or before
. Make checks payable to
Americana Festival Inc. Thank-you
Name:
Signed: ____________________________
Date:
Telephone:
Organization:
Address:
Addr Line2:
City:
State:
Zip
Email:
Americana Festival, Inc.P.O. Box 41794Centerville, OH 45441-0794
