YES! I want to be a Senior Center Booster!

                  Here is my tax-deductible contribution:

          (  )  My gift of $_____________ is enclosed.

          (  )  I pledge $________ per month for a total of $________ annually.

                     My first check is enclosed.

          (  )  I will arrange for a monthly bank draft.

Please Mail Your Contribution to:

Senior Center Boosters

2200 Drake Avenue

Huntsville, Al. 35805-5110

CONTRIBUTION CATEGORIES

 Premier Circle      $10,000           Benefactor            $300

 Diamond Circle      $5,000           Patron                  $100

 Platinum Circle       $2,500           Sponsor                 $50 

 Golden Circle         $1,000           Member                 $20

        Name__________________________________

       Address_________________________________

       City____________________________________

       State_________________  Zip______________

       Date_______________ Phone