Print the following coupon and send it with your donation to PO Box 304, Mt. Shasta Ca. 96094, or drop it off at our office at 1516 S. Mt. Shasta Blvd.

 

 

Siskiyou Opportunity Center
Sponsoring Partnership Contribution

[  ] NEW PARNTER    [  ] RENEWING PARNTER

Enclosed is my contribution of:

Sponsoring Partner: ____$25  ____$50  ____$100

Corporate Partner:  ____$250 ___$500 ____$1000
                   
Other: _____