2014 Annual Giving Program for Financial Assistance

My gift will be matched by:
___________________________________________________________________
___________________________________________________________________
(Please include matching gift forms)
My gift is given:
in memory / in honor (circle one) of:
___________________________________________________________________
Please notify___________________________________________________
Address_________________________________________________________
City_______________________________________________________________
State/Zip________________________________________________________
We accept donations of appreciated securities.
Please call us to find out more.
o I would like to include LHFYMCA in my estate
plans and have questions about doing so. Please
contact me.
Please be sure to fill out both sides of
this tear-off form and return to:
LAKELAND HILLS FAMILY YMCA
Annual Giving Campaign
100 Fanny Road
Mountain Lakes, NJ 07046
BOARD OF GOVERNORS
Executive Committee
Barbara Burke, Chairperson
Dave Fulton, Vice President
Beth O’Connor, Vice President
Georgiann Hook, Vice President
Colleen D’Angiolillo, Vice President
Greg Pizzano, Treasurer
Marci Racaniello, Secretary
Governors
John Bernauer
Erin Colarusso
Bob Flynn
Barbara Girz
Peggy Jack
Renee Lischin
Jim McCarthy
Linda Mirabella
Mike Naughton
Jennifer Stafford
Erik Tracy
Karen Carolonza
Barbara Demarest
Tim Frederiks
Angelo Intile
Jay Kiely
Megan Luciano
Tara McEntee
Melissa Muilenburg
Judith Schleicher
Robert Torcivia
Lyn Weldon
Executive Director Jim McCrudden
FOR YOUTH DEVELOPMENT®
FOR HEALTHY LIVING
FOR SOCIAL RESPONSIBILITY
2014 Annual Giving Program
for Financial Assistance
Financial Assistance is available to all
who qualify.
Use your smart
phone tag reader
to Pledge/
Donate!
THANK YOU!
Together we can change a life!
LAKELAND HILLS FAMILY YMCA
100 Fanny Road
Mountain Lakes, NJ 07046
973.334.2820
www.lakelandhillsymca.com
Make a meaningful, enduring
impact right in your own
neighborhood – with a gift to the Y!
GIVE A KID THE Y provides financial assistance
for those who cannot afford all the Y has to
offer.
We count on the generosity of our members and
others to help people of all ages feel healthy,
confident, connected and secure regardless of
income. Your tax deductible gift will directly
impact an individual or family. Here’s how:
• $3300 enables a single working parent to
receive a year of after school care
• $1065 provides a low-income family a
month of full day childcare
• $975 provides a membership to a family
so they can learn how to live a healthier
lifestyle by “moving more and eating less”
• $780 provides two teens with a Y
membership giving them access to a variety
of fitness and teen activities
• $485 allows a child to make new friends
and discover new interests during two
weeks of summer day camp
• $232 helps a child build confidence and
learn skills with 28 weeks of swim lessons
or gym classes
• $100 provides
specialized
classes for
overweight
children
Last year we helped over 500 kids and
families in your community* with more
than $385,000 in financial assistance
for these programs and membership!
Yes! I want to strengthen my community!
GIVE A KID THE Y in 2014
Here is my Contribution o or Pledge o
(please check) in the amount of:
o $2500 (or more)
Diamond Club Level
o $1000
Platinum Club Level
o $500
Gold Club Level
o $250
Silver Club Level
o $100
Bronze Club Level
o Other$__________
Name___________________________________________________________
Address________________________________________________________
City, State, Zip________________________________________________
Home Phone___________________________________________________
Cell/Work Phone (circle one)_______________________________
Email address_________________________________________________
*Boonton, Boonton Twp., Butler, Denville,
Kinnelon, Lincoln Park, Montville, Mountain
Lakes, Parsippany and Pequannock
With a Club Level donation, please list my/our name
as follows (if different from above).
__________________________________________________________________
__________________________________________________________________
Payment Information
Our Mission
The mission of the Lakeland Hills Family
YMCA is to put Christian principles into
practice through programs and services
that promote Youth Development, Healthy
Living, and Social Responsibility for all.
Please give generously!
Giving a kid the Y is
giving them a chance.
Enclosed is my check #______in the amount of $________.
Or, please charge my:
oVisa oMC oDiscover Card oAmerican Exp.
#___________________________________________ Exp.________________
in the amount of $_____________________
Credit card billing address if different from above:
__________________________________________________________________
__________________________________________________________________
Cardholders Signature:
__________________________________________________________________
You can also make your pledge or donation
online at www.lakelandhillsymca.com
Pledges must be paid by 12/31/2014.
Please make checks payable to:
LAKELAND HILLS FAMILY YMCA
or LHFYMCA