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Bronze Patron *

Une Assemblée de Souvenirs Significatifs
Patron Promissory Agreement
Bronze Patron - $150

Thank you for becoming a Bronze Patron for the Une Assemblée de Souvenirs Significatifs project. I am very pleased that you have made this most generous commitment.

What you can expect from me:

Bronze Patron Recognition on Permanent Plaque
5 Signed, 21"x 28" Offset Lithographs valued at $35 each.
Tickets to the Unveiling Reception (2)
Bronze Patron Recognition on the Zoe Foundation, Tribute Master, and TigersTime Studios Websites
I will keep you informed on a regular basis of progress and the unveiling via e-mail.
I will achieve the three objectives outlined in the Project Synopsis.

Your Full Name *

Company Name

Email *

Postal Address *

City *

State *

Zip *

Primary Contact Phone *

Recognition Listing *

Do you want your personal name or company name on the website recognition and permanent plaque?

Personal	Company

Promissory Agreement *

By checking this box, I understand that I am entering into a Promissory Agreement with Jason Savage, director of the Zoe Foundation. No patronage funds will be collected until the Lead, Platinum, Gold, and Silver patrons have made their commitments. The Zoe Foundation, Inc. is a 501 c3 non-profit organization. EIN: 52-2234212. Patronage is tax deductible. When notified, please make funds payable to the Zoe Foundation.