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Your Contribution Counts!

When you make a contribution to The Community Fund of Darien you are making a positive impact on people's lives. To make a contribution, simply click on the above link to donate online or print this page and mail your contribution to: The Community Fund of Darien 701 Post Road, P.O. Box 926 Darien, CT 06820 Phone: (203) 655-8775  Fax: (203) 655-9416 email: kiki.karpen@communityfunddarien.org

Name:   Address:     City:   State, Zip:   Phone:   E-mail:

Benjamin Fitch Society* $10,000 or more Benefactor* $7,000 -$9,999 Patron* $5,000-$6,999 Sustainer* $2,500 -$4,999 Sponsor* $1,000-$2,499 Supporter $500-$999 Friend $250-$499 Good Neighbor $1-$249 *Leadership Circle Check Enclosed $___________Pledge $________ Balance Due $_________ Please bill me quarterly Please make check payable to The Community Fund of Darien Securities         Donor Name______________________________________  #shares _________ stock___________________________________ Transfer to: Merrill Lynch DTC #5198, to the Community Fund of Darien  Account # 81N-04011 MasterCard/Visa/American Express Card No.__________________________  Exp. Date ___/___      $_________Signature (for credit card)__________________________________ Workplace Campaign--I contribute through the following company:         ________________________________________________________________ I will allow my name to be used in the roster of givers, please list my name as: __________________________________________________________

Thank you for investing in a caring community.