2017 Annual Campaign

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2017 Annual Campaign Staff Giving Program Pledge and Payroll Deduction Form Donor Information: Name:

Your Branch: Armory

Primary Assignment:

FOR OFFICE: AS-400 Member #

Pledge Amount: I pledge a total of $

to the 2016 Annual Campaign.

Signature:

Date:

Payment Method: My payment is enclosed. Please invoice me. I will pay by payroll deduction. (A minimum pledge of $26, please.) Your pledge, divided by twenty-six (26) pay periods, or the number of remaining pay periods, amounts to a $ deduction per pay period. The total pledge amount will be deducted during the 2017 Calendar Year. Yes, I’d like to be a Y Champion and help raise support for the Annual Campaign through the online giving program. Yes, I’d like to know how I can easily join the Y’s Heritage Society and help ensure that we'll always be here to support future generations. * Indicate t-shirt size if donation is $50+ _________. Thank you for your support of our YMCA! Please return this form to Tara Hopkins, Director, Communications and Fund Development by Dec 16. Place it in mailbox at Prospect or at the Armory or email: [email protected].

Gift vs. 26 Pay Periods Please turn in your pledge by Dec 16th to take advantage of the 26 pay periods. Gift $50 $75 $100 $150 $200 $250 $300 $350 $400 $450 $500 $550

26 Pay Periods $1.92 $2.88 $3.85 $5.77 $7.69 $9.62 $11.54 $13.46 $15.38 $17.31 $19.23 $21.15

$600 $650 $700 $750 $800 $850 $900 $950 $1,000 $1,100 $1,200 $600 $650

$23.08 $25.00 $26.92 $28.85 $30.77 $32.69 $34.62 $36.54 $38.46 $42.31 $46.15 $23.08 $25.00

Giving Levels $50 + : T-shirt Staff donor will receive a special YMCA t-shirt as a gift. $250 + : Y Heroes Dinner Staff donors will be invited to a special dinner with our Executive Director. $1000 + : Chairs Round Table: Chairs Round Table is a special donor group who give donations of $1000 or more. These donors are invited to attend the prestigious Chairs Round Table reception. Heritage Society: Planned giving to the YMCA. By including the YMCA in their estates, donors prove that they understand the urgency of our mission to effect change for the long run. The 1852 Fellowship recognizes generous individuals, corporations, or foundations who have provided the YMCA with a current gift of $1,000 or more to one of our endowment funds. For more information, please contact Tara Hopkins at [email protected]. Presidents Council: Generous donors who have continuously supported our YMCA for the past seven years or more. These donors are invited to a dinner reception in September.