Crossville High School Band
CrossvilleAlabama.com/Band
Print this form to submit your donation
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Donation Pledge Form

Please accept our pledge to the Crossville High School Band for the following amount: 

$____________________total donation 
 

Honorary Band Member  $100.00 - $249.00
Honorary Section Leader $250.00 - $499.00
Honorary Band Captain $500.00 - $749.00
Honorary Drum Major $750.00 - $999.00
Honorary Band Director $1,000.00 or more

This donation will be paid in the following manner: 

-  Lump Sum $__________ 

-  Quarterly installments of $__________ each 

-  Monthly installments of $__________ each 

Name of individual(s) or business____________________________________ 

Address______________________________________________________ 

City___________________________State_______________Zip_________ 
 

Signature________________________________Date__________________ 

Mail to:  Crossville High School Band, 5405 County Road 28, Crossville, Alabama, 35962 or call Ron Bearden at 256-528-2142.  Your contribution and support are greatly appreciated! 
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