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CLERMONT IN THE
21ST CENTURY FUND
Your tax deductible gift will help
pay for improvements and renovations in Clermont |
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Name:_________________________________________________________________ |
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Address:_______________________________________________________________ |
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City/State/Zip:___________________________________________________________ |
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Phone:_________________________________________________________________ |
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Email:_________________________________________________________________ |
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Please indicate your interest by
choosing one of the options below: |
□
Enclosed is my check for $_______________
(make payable to Clermont 21st Century Fund)
□ I
would like to pledge $_______________
(make payable to Clermont 21st Century Fund)
To be paid: |
□ annually for 3 years
□ semi-annually for 3 years
□ quarterly for 3 years |
| I would like my payments to
begin:_____/______/_____ |
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Signature:____________________________________ |
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□ I
would like more information about this fund and other
giving opportunities such as stock gifts. Please
contact me. |
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If you wish to donate to a particular fund, please
choose one of the options below:
□ Opera House Renovations
□ River Park Renovations
□ Business District Improvements
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PLEASE MAIL
THIS PLEDGE CARD TO:
Fayette County Community Foundation
Clermont 21st Century ~ P.O. Box 1176 ~Waterloo, Iowa 50704 |