Donation Form

The 2012-2013 Annual Appeal ends June 1, 2013. Thank you for your generosity!

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I wish to support Gillen Brewer in the following capacity:
Amount I wish to donate: $*
Founder's Circle: $50,000 and up
Community of Learners: $25,000 to $49,999
Bridge the Gap Society : $20,000 to $24,999
Mattie Gillen and Virginia Brewer Sponsors: $10,000 to $19,999
Director's Circle: $5,000 to $9,999
Benefactor: $2,500 to $4,999
Patron: $1,500 to $2,499
Sustainer: $500 to $1,499
Contributor: $1 to $499
I would like to make a donation to a special fund:
$ to the Danny Fiddle Arts Enrichment Fund This fund was established to create community-based opportunities for Gillen Brewer students to participate in arts-related programs and curriculum that will enhance their studies and participation in community life.
$ to the Mariana S. Leighton Fund This fund supporting the library was established in memory of our beloved Board member, colleague and mentor.
$ to Smiling Bauti's Fund This fund was established in memory of our beloved student Bauti Uro to help the school continue to provide a well-rounded education to a diverse community of learners from all socioeconomic backgrounds.
Total gifts: $ \| Please update
My employer has a matching gift program; I will send the form by mail.

Please contact the Development Office about making a gift of appreciated stock at 212-831-3667 x207 or emailing development@gillenbrewer.com

Name: (as you would like it to appear in our Annual Report) First: * Last: *
I prefer to be listed anonymously.
Address: Street:	*
City:	*
State:	*
Zip:	- *
Phone:
Email:

I am a: Current Parent Alumni Parent Grandparent Friend

This gift is in honor of memory of:
Please notify the following person of my gift:

Name:
Street:
City:
State:
Zip:	-
I would like to make my donation by: or

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The Gillen Brewer School is exempt from taxation pursuant to Section 501(c)(3) of the Internal Revenue Code and contributions to it are tax deductable to the full extent of the law. In the event of questions, please contact Penny Arnold at 212-831-3667 x207 or penny@gillenbrewer.com.

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The Gillen Brewer School

410 East 92nd Street, New York, NY 10128
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