CROCKETT COMMUNITY FOUNDATION MEMBERSHIP
Become a Member of the Foundation!
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All members can receive tax deductions for their donations.
This year, all members will receive our yearly calendar as a donor appreciation gift!
Members who donate $100 or more will be able to direct part of their donation to eligible
non-profit groups or fields-of-interest.
Most years a donor appreciation event will be held to acknowledge the importance of our
donors.
CROCKETT COMMUNITY FOUNDATION
MEMBERSHIP FORM
PO Box 155
Crockett, CA 94525
Phone: (510) 787-9708
Fax:
(510) 787-1346
www.crockettcommunityfoundation.org
Membership # __________
New Member_____ Renewal_____
Member Name: ________________________________________________________________
E-mail Address: ________________________________________________________________
Member Address: _______________________________________________________________
Member Phone #: (
)__________________________________________________________
Membership Donation: $__________
Received by: ________________________
Membership Category
Individual
Family
Business Member
Sponsoring Member
Sustaining Member
Patron
Corporate Patron
Lifetime (Individual)
Lifetime (Corporate)
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$
$
$
$
$
$
$
$
$
10
20
25
100
250
500
500
1,000
10,000
minimum
minimum
minimum
minimum
minimum
minimum
minimum
minimum
minimum
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(For official use only)
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Directed Donation
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Received Calendar
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Members at the $100 level will be able to direct amounts above $30 to an eligible nonprofit group or field-of-interest.
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Members at the $250 level will be able to direct amounts above $50 to an eligible nonprofit group or field-of-interest.
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Members at the $500 level and above will be able to direct amounts above $100 to an
eligible non-profit group or field-of-interest.
If your donation is $100 or more you may check the field-of-interest that you want part of your
donation to be directed to OR you may select a Crockett non-profit organization to receive part
of your donation.
Fields-of-interest:
Organization
Beautification:
Civic Events:
Cultural needs:
Education:
Crockett Library:
Senior Nutrition:
Health Services:
Crockett Museum:
Senior Housing:
Infrastructure:
Local Commerce:
Public Safety:
Recreation:
Scouting:
OR
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Local non-profit
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Your membership donations are used to provide grants and fundraising assistance to local organizations!
THANK YOU!