BUTLER STREET YMCA 2008 "STRONG KIDS CAMPAIGN"
ASSOCIATION PLEDGE FORM

East Central / Bill Lucas Branches
 
 

We build
strong kids
strong families and strong communities!

Name

Address

Address

City

State/Zip

Phone

Email

TODAY, I Pledge to Make A Difference

I would like to support the Butler Street YMCA's
programs for children, teens and families. 
Please accept my pledge
of $ to the Strong Kids Campaign.

Show amount of Pledge

Recognition
Society		 Gift
Amount		 Quarterly
Payment		 Ways Your Gift will make a difference
Platinum Triangle $50,000 $12,500

Sponsor 50 teen members for a year at the YMCA
Sponsor 100 Kids in Flag Football at the YMCA
Sponsor 25 Kids for 1 week of YMCA Summer Camp
Gold Triangle $25,000 $6,250

Sponsor 25 teen members for a year at the YMCA
Sponsor 50 Kids in Flag Football at the YMCA
Sponsor 15 Kids for 1 week of YMCA Summer Camp
Silver Triangle $10,000 $2,500

Sponsor 10 Youth Basketball Teams at the YMCA
Sponsor 50 Kids for 1 week of YMCA Summer Camp
Investor's Circle $5,000 $1,250

Sponsor 75 Youth's for YMCA Fall Soccer League
Chairman's Roundtable $2,500 $625

Sponsor 25 Kids for 1 week of YMCA Summer Camp

I will fulfill my pledge:

In Full (If paying by check, please make payable to Butler Street YMCA)
 Monthly
 Quarterly
 Semi-Annually
 EFT/Bank Draft (Please attach voided check)
Credit Card Type:  Visa or Mastercard        Starting Date mm/dd/yy

Credit Card No.  Exp Date mm/dd/yy

Acknowledge Name
       Pleas print your name as you and / or your family wish to be acknowledged

I wish my gift to be designed to the Butler Street YMCA Program