2017 Contribution Form
If Business/Organization, Company Name______________________________________
Name as I would like it to appear in the concert program (check one):
□ same as the name above □ same as the organization above
□Angel $500 & up
Please make your check payable to CPDW with State Theatre written in the memo line.
Thank you for your support!
CPDW is a non-profit educational organization registered with the Pennsylvania Bureau of Charitable Organizations; your contributions are tax deductible.
CPDW does not discriminate on the basis of race, color, religious creed, handicap, ancestry, national origin, age, sexual orientation or gender.
Central Pennsylvania Dance Workshop
101 South Fraser Street
State College, PA 16801