Legacy Fund Donation Form - (Saint Paul, MN) Irish Fair

Harriet Island
August 13-15, 2010

FREE FOOD AND DRINK

$100/DAY; $250/WEEKEND

Harriet Island - August 13-15

Name:^†

Street Address:^†

City:^†

State^†

Zip/Postal Code:^†

Home Phone:

Work Phone:

E-mail Address:^†

Donation Level:

High King ($1,000 per year for 10 years)
Chieftan ($500 per year for 10 years)
Druid ($250 per year for 10 years)
Bard ($___ per year for __ years)

Bard Level Amount

Bard Level Number of Years

- or -

^† Denotes required fields