Select Interest below- Will be contacted by PMA board/chair member with more information *

Direct Donation (recognized in all event programs & website)

Program Space (logo, designed ad, etc)

Student Shout Out Program Space (photos and message to student)

Other (give specific requests below)

Specific Request & Pricing *

Please Choose all that apply - if selected direct donation please skip this section

$10 Logo only

$30 1/8 Page Space

$150 1/4 Page Space

$350 1/2 Page Space

$500 Full Page Space

Special Request (give specific requests below)

N/A

Payment Method *

Online Payment https://ia-collegecommunity-lite.intouchreceipting.com/PMAPatrons

Mail - please send invoice

In-Person (please indicate in additional information who that was given to)

Please Select Affiliation

Parent

Staff

Business

Other

Name *

First Name

Last Name

Phone

(###)

###

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