To participate in this important restoration, please

Make your tax-deductible check payable to:

Piedmont Beautification Foundation

Piedmont City Hall, 120 Vista Ave., Piedmont, CA  94611

SPECIAL COMMEMORATIVE OPPORTUNITIES

Commemorative Specimen Tree $300

Contact:  Diane Prioleau (510) 547-5041

Commemorative Six Foot Teak Bench $2,000

Contact:  Mary MacRae (510) 653-1010

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DONATION FORM

Full name of honoree______________________________________________

Send notification to_______________________________________________

Address_________________________City/State/Zip__________

 Donor name_________________________________________________

 Address_________________________City/State/Zip__________

 Amount enclosed $________________ 

PLEASE MAKE TAX-DEDUCTIBLE CHECK PAYABLE TO PIEDMONT BEAUTIFICATION FOUNDATION.

                                                     MAIL TO: PIEDMONT BEAUTIFICATION FOUNDATION,

PIEDMONT CITY HALL, 120 VISTA AVENUE, PIEDMONT, CA  94611

THANK YOU FOR YOUR DONATION!