PELLA SPORTS PARK PROJECT

BUILDING COMMUNITY THROUGH SPORTS

DONATION FORM
The Fields For Our Future, Inc. committee would greatly appreciate and strongly encourage your generous
support of the Pella Sports Park Project.
Financial contributions to this project can be made a variety of ways, and over a time span of up to 5 years.
Commitments reaching certain amounts are eligible for certain types of recognition, as noted below. To fill out this
form, please fill in the white boxes in the tables below. Please enter your contact information below:
NAME

ADDRESS

CITY

PHONE NUMBER

DONATION

ZIP CODE

E-MAIL ADDRESS

TOTAL
AMOUNT

2016

2017

2018

2019

2020

RECOGNITION
LEVEL*

$25,000

$5,000

$5,000

$5,000

$5,000

$5,000

Platinum**

$10,000

$2,000

$2,000

$2,000

$2,000

$2,000

Platinum

$5,000

$1,000

$1,000

$1,000

$1,000

$1,000

Gold

$2,500

$500

$500

$500

$500

$500

Silver

$1,000

$200

$200

$200

$200

$200

Bronze

WRITE IN
Signature

See Above
Do you intend to submit a matching
funds request to your employer?
If yes, who is your employer?
_____________________________

YES
NO

* Recognition Levels will be listed by donor name and displayed on a plaque at the facility.
** Naming Rights are available for donations of $25,000+ (please email us for details).

To donate, please send this completed form, along with your first payment (if desired) to this address:

Fields For Our Future, Inc.

Attn: Pella Sports Park Project
P.O. Box 838
Pella, IA 50219

Checks can be made out to Fields For Our Future, Inc.

Fields For Our Future, Inc. is a 501(c)(3) non-profit corporation
and charitable donations are tax deductable as allowed by law.

We may be publishing a donor list with levels of giving. Please check if you do not wish to be listed.

E-MAIL: PELLASPORTSPARK@YMAIL.COM WWW.FACEBOOK.COM/PELLASPORTSPARK