PLEASE MAKE A DONATION

HELP SECURE THE FUTURE OF GAY LIFE IN NJ

BUY A BRICK FOR OUR FUTURE HOME

Your Name, Firm or Organization will be engraved on either an actual brick in the walkway to the building, or a wall in the entrance.  All funds will be held in an interest bearing escrow account, to be used exclusively for the purchase of a building, until such time as we have secured enough funding for the project.

Please contribute $500 one-time, or $45 each month for a year to fund the project.  Each donor will receive one pin (pictured above), and the chance to make a difference in the future.  Whether a youth drop-in center or a senior social club, your donation insures a community center for generations now and to come.

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YES, I WANT TO MAKE A DIFFERENCE . . .

Name __________________________________________________________________________

Address_________________________________________________________________________

City__________________________________State______________________Zip______________

Phone number _____________________________   E-mail _______________________________

What would you like engraved on your brick? 

_____________________________________________________________________________­­­­­­­­­­­­­­­­­­___

___  Enclosed is my check for $_________.

Please make all checks payable to The Pride Center of New Jersey. Please indicate “Building Fund” in the memo line.

___ Please charge $500.00 to my credit card.

___ Please charge $45.00 to my credit card on a monthly basis for the next 12 months.

Name as it appears on credit card: _________________________________________________

Credit Card Type:  ___Visa         ___ MasterCard                 ___ Amex

Credit Card number ________________________________________________Exp Date_____

Signature ____________________________________________________________

The Pride Center of New Jersey, Inc. is a 501( c ) ( 3) non-profit organization.  Contributions are tax-deductible to the fullest extent of the law.  Please return your completed form to The Pride Center of New Jersey, Inc., attn: Building Fund, PO Box 5130, New Brunswick, NJ 08903.

THANK YOU!