To Make Your Donation by CHECK:
To make contribution by check, simply print and fill out this page. All those who donate $100, or more, will receive, in recognition of their generosity, a Certificate of Appreciation from The Foundation. Mail this form together with your check made payable to:
Nathanael Greene Monument Foundation, Inc. C/O Charles M. Vacca, Jr., Treasurer 124 Fairway Drive Coventry, RI 02816-5780 |
The Nathanael Greene Monument Foundation, Inc. is a non-profit organization, incorporated in the State of Rhode Island. We are pleased to announce that, as of February 28, 2014, our status as a qualified 501(c)(3) tax-exempt non-profit organization has been approved by the US Internal Revenue Service, with a retroactive effective date of August 15, 2012.
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||||||||||||||||||| DONATION FORM |||||||||||||||||||
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NAME: ______________________________ E-mail: _________________________
STREET ADDRESS: ____________________________________________________
CITY/TOWN: _______________________ STATE: ______ ZIP+4:________-______
DONATION AMOUNT: __________________ YOUR CHECK #: __________________
All sponsor and paving block orders must be prepaid in full. Checks only, no cash.
STREET ADDRESS: ____________________________________________________
CITY/TOWN: _______________________ STATE: ______ ZIP+4:________-______
DONATION AMOUNT: __________________ YOUR CHECK #: __________________
All sponsor and paving block orders must be prepaid in full. Checks only, no cash.
MAJOR SPONSORSHIP CATEGORIES
___ $10,000 - Army - Flagpole, 30-foot tall with an engraved plaque.
___ 5,000 - Division - Park Bench, 6-foot metal/composite with plaque.
___ 2,500 - Artillery - Bicycle Rack, 7-unit capacity, metal with plaque.
ENGRAVED PAVER BLOCK PROGRAM
___ $1,000 - Brigade - 24x24-inch engraved paver with up to 300 characters.
___ 500 - Regiment - 16x16-inch engraved paver with up to 120 characters.
___ 250 - Battalion - 8x16-inch engraved paver with up to 60 characters.
___ 125 - Company - 8x8-inch engraved paver with up to 27 characters.
Requested Inscription:____________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
* Inscriptions subject to approval by the Board of Directors for appropriate content.
Block lettering, condensed 1x¾-inch size, with black lithochrome tinting will be used.
___ $10,000 - Army - Flagpole, 30-foot tall with an engraved plaque.
___ 5,000 - Division - Park Bench, 6-foot metal/composite with plaque.
___ 2,500 - Artillery - Bicycle Rack, 7-unit capacity, metal with plaque.
ENGRAVED PAVER BLOCK PROGRAM
___ $1,000 - Brigade - 24x24-inch engraved paver with up to 300 characters.
___ 500 - Regiment - 16x16-inch engraved paver with up to 120 characters.
___ 250 - Battalion - 8x16-inch engraved paver with up to 60 characters.
___ 125 - Company - 8x8-inch engraved paver with up to 27 characters.
Requested Inscription:____________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
* Inscriptions subject to approval by the Board of Directors for appropriate content.
Block lettering, condensed 1x¾-inch size, with black lithochrome tinting will be used.
-= OTHER SUGGESTED CONTRIBUTION LEVELS =-
___ $100; ___ $75; ___ $50; ___ $25; or, Other donation amount $_______
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___ $100; ___ $75; ___ $50; ___ $25; or, Other donation amount $_______
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Nathanael Greene Monument Foundation, Inc. ● 164 Gough Avenue, Coventry, RI 02816-7515