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
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