Company/Business: | |
Website: | |
Contact Name: | |
Address: | |
City,State,Zip: | |
Phone: | |
Fax: | |
e-mail: |
I/We would like to support American Polish Council of Long Island in the following capacity: |
GOLD SPONSOR: $500.00 and above |
SILVER SPONSOR: $100.00 - $499.00 |
OTHER |
Please complete the above form - make donations payable to American Polish Council of L.I. and mail to: | |
American Polish Council of L.I. Polish Club 329 Peninsula Blvd. Hempstead, New York 11550 |