DNHS Family Music Donation
Student Name
*
First Name
Last Name
Parent/Donor Name
*
First Name
Last Name
Parent/Donor Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Donor Email
*
example@example.com
How would you like your name to appear in recognition? (e.g. The Smith Family, etc.)
Fundraiser (if applicable)
Does your company match donations?
Yes
No
Company Name
Donation Level
Orchestra Patron ($400-$449)
Symphony Conductor's Circle ($450-$549)
Marching Maestro ($550-$599)
Guard & Pageantry Patron ($600-$699)
Jazz Junkie ($700-$799)
Drumming Donor ($800-$999)
Silver Nighthawk ($1000-$1499)
Golden Nighthawk ($1500-$1999)
Platinum Nighthawk ($2000 & up)
Other (up to $1000)
PaymentPlan
Total
Total Payment
*
prev
next
( X )
One time payment
(
USD
one-time payment)
8 month payment plan
(
USD
for each
month
)
Credit Card
Submit
Should be Empty: