Yes, I wish to donate the amount of _______________________ (Please make checks payable to Project Spectrum) First Name: ____________________ Last Name:________________________________Company Name: _________________________________________________________ Address: _______________________________________________________________ City: _________________________________ State: ____ Zip Code: _____________ E-mail Address: _________________________________________________________ Phone: ______________________________ Fax: _____________________________ ___ Yes, I would like a screen credit acknowledging my donation. [Your name will be added to the list of donors at the end of the film]
___ No, no acknowledgement is necessary. |