| |  | |  | | Skate Park-Donor Form |
The Friends of the Skate Park-Donor Form
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Donor Levels: Platinum - Own a light pole and plaque $5,000 Gold - Own a bench and plaque 3,000 Silver - Name listed on plaque and tile 1,000 Bronze - Name listed on plaque 500
Plaque listing (30 letters maximum) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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| “Own” a piece of the entryway at the skate park:
6” x 6” personal inscription tile -- $100
Personal listing (30 letters maximum) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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Your Name: _________________________________
Address: _________________________________
_________________________________
Phone: _________________________________
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Our address is:
WCFFYF-Skate Park
2977 Ygnacio Valley Road, PMB #135
Walnut Creek, CA 94598
Please make all checks payable to “WCFFYF” for Walnut Creek Fountain for Youth Foundation. Please note “Skate Park” on the memo line of the check.
The WCFFYF 501©3 non profit Tax ID # 68-0276670
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