Print it, fill it in, and mail it with your check
Partner Response Form
Join us as a community partner
Out of This World Cash Bingo · Sunday, March 7, 2027 · Macungie Memorial Park
Rotary District 7430 & STEM YEA Youth Explorer Academy
Please return this form with your check by December 31, 2026. Every gift is matched dollar for dollar by local Rotary clubs.
Your organization
ORGANIZATION NAME
CONTACT NAME
TITLE
STREET ADDRESS
CITY
STATE
ZIP
PHONE
EMAIL
NAME AS IT SHOULD APPEAR ON POSTERS AND OUR WEBSITE
Choose your partner level
LEVELGIFTYOUR IMPACTRECOGNITION
Milky Way Galaxy $2,000 Sends 4 students to the Academy Featured logo on event posters and our website, plus a thank-you from the stage
Orbit $1,000 Sends 2 students to the Academy Logo on event posters and our website, named at the event
Spacecraft $500 Sends 1 student to the Academy Name on event posters and our website, named at the event
Astronaut $250 Covers half of one student’s experience Name on our website, named at the event
Other gift of $
Payment and logo
Check enclosed, payable to STEM YEA  ·  Check no.
Our logo will be emailed to Fundraising@stemyea.com (Milky Way Galaxy and Orbit partners)
AUTHORIZED SIGNATURE
DATE
Mail to Gwenn Carr, 138 Deer Run Road, Kutztown, PA 19530  ·  Questions Fundraising@stemyea.com
STEM YEA is a 501(c)(3) nonprofit, EIN 82-0589636. Your contribution is tax-deductible to the extent allowed by law.  ·  stemyea.com