Contribution Response Form:

Please print or type your full company or organization name and address in the

form below exactly as you would like it to appear in all Christmas Parade advertisements.

__________________________________________________________________

Enclose Check or money order

Make check payable to: Mastic/Shirley Christmas Parade Committee

Name:                                                                                                                                

Address:                                                                                                                           

City:                                                                                                                                   

Telephone:                                                                                                                      

Type of Sponsorship:

Corporate: $500.00 (minimum donation)___________

Platinum:   $250.00  _________

Gold:           $150.00   _________

Silver:         $75.00    _________

Bronze:      $50.00    _________

Yes, I will be entering a float in the parade:  ________

I have sponsored the following not for profit organization float:

Name of organization: _________________________________