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Endless Mountains Blues Fest - "Charity Through Music"
 Individual or Corporate Sponsorship
Your annual support will assure that we can continue to present blues concert events for the 
benefit of charity. We are a non-profit music organization. Proceeds from all music events are donated 
to a designated charity. Your support will also help us to promote the blues and live music in northeast Pa. 

Date: _____________________

Please Check Choice Below:

____Individual Supporter  $__________ one free pass per $50 sponsorship

____Business or organization support  $50+, please specify amount $______ free passes based upon amount of donation.  One free pass per $50 donated

___ *Check here If you've completed and purchased a membership online and are just submitting information

Date:

Name ____________________________  

Business Name (if corporate sponsor) __________________________

Name/Business name you wish to be posted online, in programs, and in full page ads

____________________________________________________

Mailing Address _____________________      City, State, Zip  _______________________  

Email Address ____________________________  Phone ___________________________

Please make business check or money order payable to: Scranton/WB Blues Assoc. and mail to:
Mary Perry  P.O. Box 99  Elmhurst, Pa. 18416. The charities do not accept checks directly.