Name___________________________________________________________________

Address ________________________________________________________________

City/ State/Zip___________________________________________________________

Tribe Name _____________________________________________________________

*I would like to make a pledge. Please bill me as indicated below:

I pledge $________________________made on__________________________

Payment requested as follows:

? Bill Me: ? Quarterly $_________ ? Semi Annually $_______ ? Once $_______

?Bill me in the month of ______________

Total Pledge Amount: $

*I would like to make a contribution right now!

Total Contribution: $

Cash or Check (make checks payable to Camp Thunderbird)

Visa/MasterCard/Discover/Amex______________________________________Exp. Date: __________________

Name: _________________________________________________________________

Mailing Address: ________________________________________________________

City: ___________________ State: ______ Zip: _________ Phone:______________

Tribe Name: ____________________________________________________________

Thank you for your contribution of $__________________ made on _______________

YMCA of Greater Charlotte Y-Guides

500 East Morehead Street, Suite 300

Charlotte, NC  28202

He will turn the hearts of the fathers to their children, and the hearts of the children to their fathers.

Malachi 4:6