Be a part of the...
Wall of Honor
Yes, I would like to make a pledge to the CA4WDC office
building fund.
(print out form and mail in with a check / money order / credit card
information)
| Supporter:q | Gifts under $300.00 commemorated on special plaque. | $_______________ |
| Patron:q | Gifts from $301.00 to $1000.00 commemorated with a personalized brick in the Wall of Honor. | $_______________ |
| Benefactor:q | Gifts from $1001.00 to $5000.00 commemorated with special benefactor plaque racessed in the Wall of Honor. | $_______________ |
| Visionary:q | Gifts over $5000.00 commemorated in conjuction with donor and building committee. | $_______________ |
| I wish to have reminders sent: q Monthly q Quarterly q Annually q Paid in Full |
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| Name: | ||
| Address: | ||
| City: | State: | Zip |
| q Check /Money Order | q Charge | |
q 
q  q  |
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Account # Expiration Date: |
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Signature: |
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Commemoration to Read:
(Patron Brick - 3 lines - 12 characters) |
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Line 1 |
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Checks to be made out to CA4WDC BUILDING FUND.
Mail checks to:
CA4WDC, 8126 36TH Ave. , Sacramento, CA 95824