GSBF
Donation Form
 © GOLDEN STATE BONSAI FEDERATION, Inc.
Founded in 1978
Name (Print): ________________________________________________
Phone: ________________________________
Email (Print): ______________________________
Primary Club Affiliation _____________________________________
Address:_____________________________________________________________________
Supporter |
$24 and under |
|
Black Pine |
$250-$499 |
Ginkgo |
$25-$49 |
|
Bronze |
$500-$999 |
Maple |
$50-$99 |
|
Silver |
$1,000-$2,499 |
Juniper |
$100-$249 |
|
Gold |
$2,500 + |
Amount of Donation: $ __________
Make your check payable to GSBF. Your donation is tax deductible – GSBF, Inc. is a non-profit 501(c)(3) organization. A receipt will be sent. Mail payment with this form to:
GSBF, c/o Lauri Feetham, 3284 Charmes Ct., San Jose, CA 95135-1100.
We appreciate the use of your stationary and
postage.
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