Caysp Donation Form Doc

Camden Area Youth Seamanship Program Donation Form for Purchase of New Boats December 2009 Donor Information (please print or type) Name Address City, State, Zip Telephone E-Mail Donation Information

Yes, we will make a gift to help purchase new Mercurys for CAYSP. “Set Sail with CAYSP”

Level Range

MAINSAIL - Buy and Name a Boat

$15,000

GENOA

$5,000 and up

SPINNAKER

$2,500 - $4,999

JIB

$1,000 - $2,499

STAYSAIL

$500 - $999

MIZZEN

Up to $500

Your Donation Amount

Desired Boat Name

Pledge Information

I (we) pledge a total of $_______________ to be paid in the following amounts: ____________ Now ___________ By May 1, 2010 I (we) plan to make this contribution in the form of: ______ Check ______ Gift of Stock ____ Other. (For gift of stocks, please contact Camden Yacht Club Office Manger, Elaine Booker, at [email protected] or by telephone at 207-236-7033.) Amount Enclosed: Acknowledgement Information Please use the following name(s) in all acknowledgements:

____ I (we) wish to have our gift remain anonymous. Signature(s) Date Please make checks payable to:

CAYSP, P.O. Box 204, Camden, ME 04843