2009 ADOPT A BOOM!!
ADOPTION APPLICATION
NAME_____________________________________
ADDRESS__________________________________
TELEPHONE NUMBER_______________________
I WOULD LIKE TO ADOPT A BOOM FOR THE UPCOMING ÒMEDICINE PARK/ LAKE LAWTONKA FIREWORKS DISPLAYÓ.
SIZE OF BOOM |
PRICE OF BOOM |
# OF BOOMS |
TOTAL |
3 INCH |
$ 7.00 |
||
4 INCH |
$ 15.00 |
||
5 INCH |
$ 24.00 |
||
6 INCH |
$ 46.00 |
||
8 INCH |
$ 78.00 |
||
10 INCH |
$ 189.50 |
||
12 INCH |
$ 336.00 |
||
OTHER ITEMS |
$ DonorÕs Choice |
||
TOTAL ADOPTION DONATION:Ê |
Ê$ | ||
PLEASE MAIL THIS ADOPTION FORM AND YOUR DONATION TO:
Medicine Park Fire Department
Adopt a Boom
P.O. Box
Medicine Park, OK 73557
ANY AND ALL DONATIONS ARE GRATEFULLY ACCEPTED, AND WILL HELP US CREAT A BETTER SHOW FOR YOU TO ENJOY!
CONTACT INFO: Corey Freeman (682)-429-7383