| Name of Donor:___________________________________________ | |||
| Address:_________________________________________________ | |||
| City:_______________ | State:______________ | Zip:_______________ | |
| Phone:_____________ | Fax:_______________ | E-mail:____________ | |
| I am making a charitable contribution to the Neighborhood Boys and Girls Club, a 501-(c)3 non-profit organization. I am receiving nothing in return for this contribution other than the gratitude of the Neighborhood Boys and Girls Club. The purpose of my gift is: | |||
| ________Alumni dues | ________General Operating |
| ________Memorial | ________Valentin Scholarship Fund |
| ________Annual Campaign | ________Capital Campaign |
| ________Other: _____________ | |
| Upon receipt of this gift a letter will be forwarded for your income tax records. Thank you for investing in the future of our youth and joining our mission of building “Better Men and Women”. | |
| Signature:_________________________________ Date:__________ | |