
Please print this page, Fill out all the information, list your contribution amount, print the page and mail to the address below. An on-line contribution process will be available soon.
Mailing address: Beth Williams Field of Dreams Foundation, Inc., P.O. Box 32, Midlothian, Virginia 23113
The Beth Williams Field of Dreams Foundation, Inc. is a 501(c) 3, tax-exempt organization. Contributions are tax deductible.
| Name | _____________________________________________________________ |
| Address | _____________________________________________________________ |
| City | ________________________________ State _______ Zip ___________ |
| Phone | ________________________________ |
| _____________________________________________________________ |
Contribution Amounts:
| $1,000 | Includes 6 tickets to the Annual Gala with recognition as a Benefactor and listing on the Host Committee; 2 tickets to the Summer Outer Banks Host Party | |
| $500 | Includes 4 tickets to the Annual Gala with recognition as a Patron and listing on the Host Committee; 2 tickets to the Summer Outer Banks Host Party | |
| $ 250 | Includes 2 tickets to the Annual Gala with recognition as a Friend and listing on the Host Committee; 2 tickets to the Summer Outer Banks Host Party | |
| $100 | Includes 2 tickets to the Annual Gala and 2 tickets to the Summer Outer Banks Host Party. | |
| $50 | Includes 1 ticket to the Annual Gala and 1 ticket to the Summer Outer Banks Host Party | |
| $25 | Includes 1 ticket to the Summer Outer Banks Host Party | |
| General Donation: Other Amount $______________ | ||
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Enclosed is a check for $___________ made payable to The Beth Williams Foundation
| Your Signature | _____________________________________________________ |
| Second Signature (for joint accounts) |
_____________________________________________________ |