Grape and Fall Festival Queen Pageant 2006
Please fill out this form and mail with your check to:
St. James Chamber of Commerce
C/O Jessica E. Stack
Pageant Director
18751 CR 3480
St. James, MO 65559
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Yes, I would like to make a donation to the Grape & Fall Festival Queen Pageant.
Name: _______________________________________________________________________
Company (If Applicable): _________________________________________________________
Position/Title: __________________________________________________________________
Address: ______________________________________________________________________
Address 2: ____________________________________________________________________
City/State/Zip: __________________________________________________________________
Telephone: ____________________________________________________________________
E-mail: _______________________________________________________________________
Donation Information
| Amount | | Category |
| $25 ________ | | Catawba level |
| $50 ________ | | Seyval level |
| $100 ________ | | Vignoles level |
| $250 ________ | | Concord level |
| $500 ________ | | Norton level |
| $ ________ | | Other |
Non-Cash Donation: _________________________________________________________
Estimated Retail Value: _______________________________________________________
Arrangements for delivery/pick-up: