Multi-Year Gift to the Capital Campaign
  1. Thank you for making a commitment to the Y with your gift to the Y's "Pave the Way" Capital Campaign. It is because of community-minded donors like yourself that we are able to live out our mission each and every day.

    Please fill out the following form below to make your tax deductible gift to the Y.
  2. First Name(*)
    Please let us know your name.
  3. Last Name(*)
    Please let us know your name.
  4. Date(*)

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  5. Street Address(*)
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  6. Town(*)
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  7. State(*)
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  8. Zip Code(*)
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  9. Phone(*)
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  10. Your Email(*)
    Please let us know your email address.
  11. In honor of:
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  12. In memory of:
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  13. Please send an acknowledgement to:
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  14. Donation
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  16. Over how many years are you making this payment?
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  17. Payment to be made Per Year
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  18. Frequency of Payment Desired
    Choose One:


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  19. Payment Options below:
  20. Choose One:


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  21. Additional Opportunities:
  22. The Capital Champion Club is a $10,000 annual gift that can be renewed
    annually and includes membership and a reserved parking space for a year.


    I am interested in being a member of the Capital Champions Club. Please contact me.
  23. Invalid Input

  24. Would you like to choose a Naming or Dedication Opportunity in recognition for your gift?
    If so, we will contact you to discuss this. Click here to see the current list from the Capital Brochure.
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  26. Finalize My Gift:
  27. Print this page for your records. Be sure to click submit after printing.
  28. Thank you for making a commitment to the Y with your gift to the Y's "Pave the Way" Capital Campaign. It is because of community-minded donors like yourself that we are able to live out our mission each and every day.

    Please fill out the following form below to make your tax deductible gift to the Y.
  29. First Name(*)
    Please let us know your name.
  30. Last Name(*)
    Please let us know your name.
  31. Date(*)

    Invalid Input
  32. Street Address(*)
    Invalid Input
  33. Town(*)
    Invalid Input
  34. State(*)
    Invalid Input
  35. Zip Code(*)
    Invalid Input
  36. Phone(*)
    Invalid Input
  37. Your Email(*)
    Please let us know your email address.
  38. In honor of:
    Invalid Input
  39. In memory of:
    Invalid Input
  40. Please send an acknowledgement to:
    Invalid Input

  41. Donation
  42. Invalid Input
  43. Over how many years are you making this payment?
    Invalid Input
  44. Payment to be made Per Year
    Invalid Input
     
  45. Frequency of Payment Desired
    Choose One:


    Invalid Input

  46. Payment Options below:
  47. Choose One:


    Invalid Input

  48. Additional Opportunities:
  49. The Capital Champion Club is a $10,000 annual gift that can be renewed
    annually and includes membership and a reserved parking space for a year.


    I am interested in being a member of the Capital Champions Club. Please contact me.
  50. Invalid Input

  51. Would you like to choose a Naming or Dedication Opportunity in recognition for your gift?
    If so, we will contact you to discuss this. Click here to see the current list from the Capital Brochure.
  52. Invalid Input

  53. Finalize My Gift:
  54. Print this page for your records. Be sure to click submit after printing.