Riverfront Form - City of Niles

7 downloads 142 Views 220KB Size Report
210 E. Main. Niles, MI 49120. Phone___________________________________. Please indicate the level of your participation:
Buy a Brick – Buy a Bench – Buy a Bush When you purchase a tree, bench, bike rack or engraved paving brick for placement in the Niles Riverfront Park you will help fund the future growth of the park. Your contribution will serve as a building brick in the foundation of Niles’ future. Your gift is tax deductible. Make your payment to: City of Niles-DDA/Riverfront Pk. (You may specify a certain project, i.e. Playground, Boat Dock, etc.) Mail to: Downtown Development Authority 210 E. Main Niles, MI 49120 Please indicate the level of your participation:

Purchaser’s Name ________________________ Address _________________________________ City_______________State________Zip_______ Phone___________________________________ My gift is specifically for____________________

Diamond* Platinum* Gold* Silver* Bronze* Brick* Donor

A gift of $5,001 or more A gift of $2,501 to $5,000 A gift of $1,001 to $2,500 A gift of $501 to $1,000 A gift of $251 to $500 A gift of $50 to $250 A gift of $0 to $49

My total Contribution is $___________________ Signature____________________Date ________

*Diamond, Platinum, Gold, Silver and Bronze contributors as well as those purchasing bricks will be specifically recognized for their contribution in the park. Please indicate below how you want your brick or name to be included. Only one character (letter, number, punctuation mark, space) per block. PRINT information exactly as you want it to appear. Each brick can have three lines with as many as fourteen (14) characters per line. Each line will be centered. BRICK ONE

BRICK TWO

BRICK THREE

__ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __

BRICK FOUR

BRICK FIVE

BRICK SIX

__ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ __ __ __ __ __ __

Please return white and yellow copies with your check or money order; retain pink copy for your records.

A brick for a Veteran placed in the Veteran Memorial area, $25 All other bricks placed in the Veteran Memorial area, $50 All bricks placed in Amphitheater area, $50 Revised 11/23/04