Please fill out the following information, and send with check or money order to:

MorrisonDance
4201 Lorain Avenue
Cleveland, OH 44113

Today's Date:________

Name__________________________________________________________

Address________________________________________________________

City/State/Zip____________________________________________________

Phone_________________________________________________________

e-mail_________________________________________________________

Please answer as applies:

If this contribution is made in honor of someone other than yourself, please enter name:

________________________________________________________________

We like to recognize our supporters on our website and in programs for their contributions,
however, we realize that some people like to remain anonymous for privacy purposes.
Please check any of the places where you DO NOT wish your name to appear in recognition
of your support:

___ Performance Programs

___ MorrisonDance website


I would like to show my support through the following contribution to MorrisonDance:

$_____________________