Business Name (if applicable)

Phone* Alt. Phone

Address*

Town* State*

E-mail*

Message (no more than 50 words, please!!)

Choose your color; see instructions below if you want to provide artwork or photos:

Anchor

Blue		Red
Black		Green

If you would like to include art (a photo or a logo; no larger than 2 mb in jpeg format) OR would like to supply your own slide (1024 px X 768 px; 150 dpi; rgb; jpeg) e-mail them to: art@rivercitycinema.com. Be sure to include your name in the e-mail!

I am supplying art/photograph. I certify that I have the right to display this art/photo. River City Cinema is NOT responsible for provided art/photograph. I'll e-mail it to: art@rivercitycinema.com

We'll send you a proof to look over within a few days!

Click on one of the selections below to let us know how many shows you want your message to appear before (your slide will be seen a number of times before each show), and the amount of your dontation :

1 show=$25 / 2 shows=$50 / 3 shows=$75 / 5 shows=$100