GLEN ELLYN INFANT WELFARE SOCIETY

DONATION FORM

Platinum {$5,000+}

Gold {$1,000+}

Silver {$500+}

Bronze {$300+}

Nickel {$150+}

Brass {$50+}

Yes, I would like to make a contribution to benefit the children and families in need within the greater Glen Ellyn area.   All contributions are fully tax-deductible and are distributed to agencies that serve the Glen Ellyn area.

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Sponsorship Level (please choose one)

¢ Platinum ¢ Gold ¢ Sliver ¢ Bronze

¢ Nickel ¢ Brass

Please Note:

¨ Kindly make checks out to: Glen Ellyn Infant Welfare Society.

Please send all payments to:

Polly Green

579 Lee Street

Glen Ellyn, IL 60137

Attn: DONATIONS

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