Kids Day Newspaper Sponsorship Form

Yes! Sign me up as a Kids Day newspaper sponsor.

Sponsor name (as you would like it to be published):

__________________________________________________________

Contact name (for companies and organizations):

__________________________________________________________


Address__________________________________________________________


Phone_____________________________e-mail_________________________


___Please send ____ Kids Day newspapers to this school__________________


For additional schools please list quantity and school name:

__________________________________________________________


___Please send ___ Kids Day newspapers to a school in need of a sponsor.


___I would like to make an additional donation of $ _____ to Parents And
Children Together.

My check for $ _____ ($1 per newspaper) is enclosed. (Make payable to Parents And Children Together)

Please charge $ _________ ($1 per newspaper) to my credit card:

VISA Mastercard AMEX

Card number _____________________Expiration date -___________________

Address: _______________________________City/Zip___________________

Telephone:

Name on card ____________________________________________________

Signature ________________________________________________________

Please send to:

Kids Day PACT
1485 Linapuni Street, Suite 105
Honolulu HI 96819, 847-3285 or
Fax to 841-1485.