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| Levels of Giving |
| $100-$499 | Friend | | $2,500-$4,999 | Patron |
| $500-$999 | Partner | | $5,000-$9,999 | Sponsor |
| $1,000-$2,499 | Associate | | $10,000+ | Benefactor |
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Please Credit My Gift Toward
Youth program support
International Outreach
Summer Collegiate Staff
Wherever need is greatest
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| Name | ______________________________ |
| Address | ______________________________ |
| City | ______________________________ |
| State | ____________Zip________________ |
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In support of the programs at YMCA Blue Ridge Assembly:
I pledge $________ for 20__ to be paid by December 31.
Bill me __Quarterly __Semiannually __Annually
I have enclosed $_______________ for 20__
Signature_____________________________
Date_________________________________
Please make checks payable to "The Blue Ridge Fund." Thank You.
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