Yes! I Want to Help The Children.

Annual Appeal

  Children’s Circle   $1,000 or more
  Benefactor           $500 - $999
  Patron                 $250 - $499
  Donor                   $100 - $249
  Contributor            up to $99
   
  Contribution enclosed      $____________
   
   
 

Please make check payable to The Children’s Community Programs of CT, Inc.   If you work
for a Matching Gift employer, enclose the appropriate form. Contributions are tax deductible to the
full extent of the law.
   
  Please send acknowledgements to:
   
 

Name:  _________________________________________

Street: _______________________________

City/State/Zip:   __________________________________

 
  Gift:   
 

In Memory of ____________________________

In Honor of ______________________________

   
  Thank You!