I want to be a contributor to The Burlington Bell Community Fund!
__Founding Member Pledge (minimum pledge $5,000 over 3 years)
__Bell Circle Pledge (minimum pledge $1,000 over 3 years)
__$500 __$100 __$50
__Other Amount:_________
For all gifts please complete the following:
___________________________________________
Name
___________________________________________
Address
___________________________________________
City, State, Zip
___________________________________________
Email
___________________________________________
__My gift is in honor/memory of:
___________________________________________
If you would like this person to be notified of your gift,
please give us their mailing address:
___________________________________________
Address
___________________________________________
City, State, Zip
___________________________________________
Print this page and make your tax deductible donation check payable to:
Main Street Community Foundation
c/o Burlington Bell Community Fund
200 Main Street
Bristol, CT. 06010
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The Burlington Bell can be found under
"Field of Interest Funds".
Or...
