YES! I Want To Help!
Make your tax-deductible check payable to:
Town of West Boylston/Pride Park Renovation Fund.


Mail to:
Pride Park Renovation Committee
P.O. Box 169
West Boylston, MA 01583


(Please make a copy for your receipt.) Thank you for your generous support!

 
Name/Company Name:
 
 
Address:
 
 
Phone Number:
     
Signature:
 


  I would like to VOLUNTEER to help! Please contact me! Phone number:____________________________
 
  I would like to make a straight donation of $_________________________
 
  I would like to buy ______ tickets to the Auction event on October 22 at the Wachussett Country Club.
 
  I would like to purchase an 8"X8" Brick for $100.00 with 4 lines and I filled out the form below.
 
    I would like to purchase a 4"X8" Brick for $50.00 with 2 lines and I filled out the form below.
 
  I would like to purchase ______ bricks with no message on it for $30.00 each.
 
  Add $10.00 for an optional symbol included on my brick. (Circle one): soccer ball, baseball, football, smile, basketball, golf ball/club, music notes, child on bike, graduation cap, lion, cat, dog, footprint, handprint, heart.
 
Text for Brick (18 characters per line, 2 or 4 lines)
 
Line 1:
 
Line 2:
--------------
 
Line 3:
 
Line 4:


Total Enclosed: $_______________________________

For companies or businesses please send an electronic copy of your logo: to leslie@aiedesign.com for posting on our Website.

*Remember to ask your employer if they have a program to match donations made by employees!