Friends of the Gateway Ringers

Contribution Form

_______________________________________________________________

Levels of Giving:

Bronze Circle: $500+            Benefactor: $250-499

Century: $100-249                  Patron: $50-99

   Contributor: $20-49

_______________________________________________________________

 

Amount enclosed:  $_______  

Name: ________________________________________________________

Address: ______________________________________________________

City, State & ZIP ________________________________________________

Email (optional): ________________________________________________

 

  Please list my (our) name(s) in your programs and website as:

      ____________________________________________________________

 

  Please do not list my name in the programs or website

 

  Please add me to your mailing list (email)

 

  Please add me to your snail mail list (regular post)

 

Bronze Circle Polo Shirt  Size    S    M    L   XL   XXL

                                         Color         White      Black

 

Please make checks payable to “Gateway Ringers”

 

Mail to:  Gateway Ringers, c/o Peggy Lohnes, 4333 Herbert Ave., St. Louis, MO 63134