BOARD OF DIRECTORS

                                                                         Dr. Charles S. Zwerling, Chairman
                                                               Patti A. Troy, Vice-Chairman
                                                                                   Melissa G. Zwerling, Secretary-Treasurer

 

 

In reference to the support of the financial objectives of HERITAGE DANCE FOUNDATION, INCORPORATED; I/we pledge and agree to accord the sum of $_________________.

 

Gift towards this pledge will be bestowed:_____________semi-annually____________annually

in the amount of $______________________________________________________________________________.

 

This bestowment is, at present, a one-time contribution, but it will not preclude future donations.

________________Enclosed is the sum of $_________________________________________________________.

____________________My employer/corporation____________________________________________________

                                                                                    (name of employer/corporation)

is making a matching contribution in addition to my personal donation.  I will complete the proper forms to accompany my payments.

 

I/we wish the gift to be applied as indicated:

____________Unrestricted: The Foundation is authorized to allocate my gift at its discretion.

____________Professional Prize Fund

____________Amateur Scholarship Fund

____________Professional Scholarship Fund

_____________________________________________________________________________

The unpaid portion of my commitment_______shall be__________shall not be: an obligation that is legally binding on my estate.

 

DATE_______________________________________________________________________

SIGNATURE__________________________________________________________________

NAME (please print)____________________________________________________________

ADDRESS____________________________________________________________________

STUDIO or other DANCE AFFILIATION (if applicable)____________________________

 

Please make checks payable to HERITAGE DANCE FOUNDATION, INC. and send them to the address below.  For gifts of securities, write or call Dr. Charles S. Zwerling, Chairman of the Board.  Gifts to HERITAGE DANCE FOUNDATION are tax deductible as the Foundation has been exemption under Section 501 (C) (3) of the Internal Revenue Code with the identification number of: 56-1767144

 

 

107 SOUTH CENTER STREET GOLDSBORO, NC 27534 PHONE (919) 735-3701