Donation Form

The 2011-2012 Annual Appeal ends June 30, 2012. Thank you for your generosity!

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I wish to support Gillen Brewer in the following capacity:
Founder's Circle: $50,000 and up
Community of Learners: $25,000 to $49,999
15+ Association: $15,000 to $24,999
Mattie Gillen and Virginia Brewer Sponsors: $10,000 to $14,999
Director's Circle: $5,000 to $9,999
Benefactor: $2,500 to $4,999
Patron: $1,500 to $2,499
Sustainer: $500 to $1,499
Contributor: $1 to $499
Amount I wish to donate: $ *

My employer has a matching gift program; I will send the form by mail.

Please contact the Development Office about making a gift of appreciated stock at 212-831-3667 x207 or emailing development@gillenbrewer.com

Name: (as you would like it to appear in our Annual Report) First: * Last: *
I prefer to be listed anonymously.
Address: Street:	*
City:	*
State:	*
Zip:	- *
Phone:
Email:

I am a: Current Parent Alumni Parent Grandparent Friend

This gift is in honor of memory of:
Please notify the following person of my gift:

Name:
Street:
City:
State:
Zip:	-
I would like to make my donation by: or

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The Gillen Brewer School is exempt from taxation pursuant to Section 501(c)(3) of the Internal Revenue Code and contributions to it are tax deductable to the full extent of the law. In the event of questions, please contact Penny Arnold at 212-831-3667 x207 or penny@gillenbrewer.com.

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The Gillen Brewer School

410 East 92nd Street, New York, NY 10128
212-831-3667 » fax 212-831-5254 » info@gillenbrewer.com