Print out and mail attached form:.

Amount Enclosed $ ________________________ Name ________________________ Address ________________________ City ________________________ State Zip ________ _______ Telephone   Donations in any amount are gratefully appreciated! Pillar of the Community: $2,500+       Townwide Fund Society$1,000+   Patron:$500+ Benefactor: $250+ Friend: $150+ Donor: $100+ Please indicate here if you do NOT want your gift publicly acknowledged. .I am interested in payroll deduction and planned giving programs. Remember the Townwide Fund with your employee matching gift programs.

Please make checks payable to
THE TOWNWIDE FUND

and mail along with this form to:

The Townwide Fund
Box 384, Huntington, NY 11743.
Your contribution is 100% tax deductible.