Friends of the Gateway Ringers
Contribution Form
_______________________________________________________________
Levels of
Giving:
Bronze Circle: $500+ Benefactor: $250-499
Century: $100-249 Patron:
$50-99
Contributor: $20-49
_______________________________________________________________
Amount enclosed:
$_______
Name:
________________________________________________________
Address:
______________________________________________________
City, State & ZIP
________________________________________________
Email (optional):
________________________________________________
Please list my
(our) name(s) in your programs and website as:
____________________________________________________________
Please do not list
my name in the programs or website
Please add me to
your mailing list (email)
Please add me to your snail mail list (regular post)
Bronze Circle Polo Shirt Size
S
M L XL
XXL
Color White Black
Please make checks payable to “Gateway Ringers”
Mail to:
Gateway Ringers, c/o Peggy Lohnes,