Print this form and mail to:

Heights and Hill Community Council
57 Willoughby St.
4th Floor
Brooklyn, N.Y. 11201

Enclosed is my contribution to Heights and Hill Community Council in the amount of

___$500 ___$250 ____$100 ____ $50 ___Other_____________.

Name _____________________Address _________________________________

Phone_______________________

You can give a gift in honor of someone’s birthday, anniversary, wedding, holiday or other occasion. Or you can give a gift in memory of an individual.

Please provide the name of the person you are honoring or remembering:

____in honor of _____in memory of ___________________________

If you would like us to notify someone of your gift, please give us the name and address and we will send an acknowledgement card.

Name __________________________________________

Address___________________________________________

You can double your gift to Heights and Hill Community Council with amatching corporate contribution from your employer. If your company has a matching gift program, just ask the business office or personnel department for the proper form and mail it with your contribution.

Please make checks out to Heights & Hill Community Council. Contributions are tax deductible to the full extent of the law.

Donor information is not shared with or sold to other organizations.