Kids' Chance of Pennsylvania
Corporate and Community Partner Program
Commitment Form

Company Name:_________________________________________________

Address: ______________________________________________________

Contact Person & Title: _________________________________________________

Telephone: _______________________________

Fax: ____________________________________

E-mail: _________________________________________________


YES!! We are pleased to become a Kids' Chance Partner for the next 12-month period at the following level (check one):

_____ Senior Partner ($10,000) enclosed
_____ Junior Partner ($5,000) enclosed
_____ Sophomore Partner ($2,500) enclosed
_____ Freshman Partner ($1,000) enclosed

YES!! We pledge this level of support for   2    5   consecutive years.
(circle one if you wish to make a multi-year pledge.)

Please list our business/community group in all acknowledgement materials as follows:

_________________________________________________

Please make checks payable to:
"Kids' Chance of Pennsylvania"

Mail completed form and check to:
Kids' Chance of Pennsylvania
P.O. Box 543, Pottstown, PA 19464

THANK YOU FOR PARTNERING WITH KIDS' CHANCE. YOUR SUPPORT WILL HELP DESERVING PENNSYLVANIA STUDENTS PURSUE THEIR HIGHER EDUCATION DREAMS.

Kids' Chance of Pennsylvania, Inc. is a is a registered 501(c)(3) not-for-profit, tax-exempt Pennsylvania charitable organization.