AWARD DONATION FORM

Name:  _________________________________________________________

Address:________________________________________________________

City/State/Zip:__________________________________________________

__________ Awards Sponsored at $15.00 each = $____________
# Sponsored                                                                                                                Amount Enclosed

Your preferences will be accommodated when possible, please make a
second selection.  Award sponsors are assigned on a first-come basis.

Project Area Preference (if any):

1st Choice:_____________  2nd Choice: _____________  No Preference_____

Thank You for your generous contribution!

Return with check payable to:
St. Clair County Agricultural Society
P.O. Box 325
Marysville, MI  48040