(Your Contributions are Tax Deductible)

- Donor Levels -

Architect ($10,000 or more)

Draftsman ($5,000--$9,999)		 Contractor ($3,000--$4,999)

Carpenter ($1,001--$2,999)

YES! Please sign me up to help with the contruction of the playground.

Materials Donation - Describe: ___________________________________

Patron - Other Gifts: ___________________________________________

Name (Individual or Company) _________________________________________

Mailing Address _____________________________________________________

City, State, Zip ______________________________________________________

Phone _____________________________________________________________

Contact ____________________________________________________________

To get involved, Print this form, fill out, and send to:
Oshkosh Community Playground, P.O. Box 8102, Oshkosh, WI, 54903-8102

Make checks payable to: Oshkosh Foundation

For more information, contact fundraising chairman Keith Pollnow (236-6610)

For your convenience, this donation form
is provided as an Adobe Portable Document
which you can download, print and mail.
Macintosh (14 k)
Windows (14 k)


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