Close Window
[ please print this form ]
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
Please Credit My Gift Toward
— Youth program support
— International Outreach
— Summer Collegiate Staff
— Wherever need is greatest
Name______________________________
Address______________________________
City______________________________
State ____________Zip________________
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.


YMCA Blue Ridge Assembly
84 Blue Ridge Circle
Black Mountain, North Carolina 28711
www.blueridgeassembly.org
828.669.8422

Privacy Policy