Print and comlpete this form. Mail to: Veterans Memorial Fund - Rochester Area Community Foundation - 500 East Avenue - Rochester, NY 14607-1912

Veterans Memorial Contributions (PLEASE PRINT)

I want to make a tax-deductible contribution in the following amount to the Veterans Memorial Fund.

___$25 ___$50 ___$100 ___$500 ___$1000 $____ Other

Contributors of $1000 or more will be publicly recognized. ____I wish to remain anonymous.

Contributor's name and address______________________________________

_______________________________________________________________

Please make your check payable to the Veterans Memorial Fund.

For credit card donations please check one ___VISA ___MasterCard ___American Express

Card number_______________________Expiration date_________________

Cardholder's name and billing address (if different from above)_____________

______________________________________________________________

Signature______________________________________________________

The Veterans Memorial Fund has 501(c)(3) status as a component fund of Rochester Area Community Foundation. Contributions are tax deductible to the full extent provided by law.


Veterans Memorial Registry (PLEASE PRINT)

Veteran's Name _________________________________________________________________________

Branch of service

___Army ___Navy ___Air Force ___Marines ___Coast Guard ___National Guard ___Merchant Marine

Dates of service __________________________________________________

___I have enclosed a photo (4 x 6 or smaller) to be included in the registry and a one-time fee of $25.

___I have enclosed 100 words or less of biographical information (e.g., rank, decorations, where stationed, hometown) on a separate sheet of paper and a one-time fee of $25.

Contributor's name and address______________________________________

_______________________________________________________________

Please make your check payable to the Veterans Memorial Fund.

For credit card donations please check one ___VISA ___MasterCard ___American Express

Card number_______________________Expiration date_________________

Cardholder's name and billing address (if different from above)_____________

______________________________________________________________

Signature______________________________________________________

 

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