When you donate you’ll receive VIP status with very exclusive benefits*:
 2 Reserved VIP seating passes for the concerts on the Capitol Main Stage July 3rd and July 4th
[Sponsored by Riley Auto Group & Midwest Block & Brick] & the Missouri Credit Union Red, White
and Boom Fireworks Sky Concert
 1 VIP Parking Pass for the Selinger Center lot off West Main
 Food & Beverage voucher courtesy of Ria’s
 Recognition from the stages
 Accolades from the community for supporting a premiere community event!
Name
Organization
Address to deliver
VIP Passes
City
State/Zip
Phone
Email
 $250 donation
 $500 donation
 $_______________ other donation
 Call me to discuss other ways I/my business or organization can participate
Please complete this form and mail check made to Salute to America, Inc to P.O. Box 2227,
Jefferson City, MO 65101. For questions, please call Jill Snodgrass at 761-0704.
If you prefer you can make your donation online at: http://www.planetreg.com/VIP
* All seating and parking is first come, first served and based on availability at the time.