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Download a pdf of the Inscription Form - Gilda's Club New York City

Download a pdf of the Inscription Form - Gilda's Club New York City

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195 West Houston Street <strong>New</strong> Y ork, NY 10014 212 647 9700<br />

Gilda’s <strong>Club</strong> <strong>New</strong> <strong>York</strong> <strong>City</strong>’s cancer support community<br />

has been made possible only by <strong>the</strong> continued generosity <strong>of</strong><br />

individuals, corporations and foundations.<br />

We invite you to join those who have given so much<br />

to bring cancer support to all <strong>New</strong> <strong>York</strong>ers living with<br />

cancer. Our newly designed donor’s mural will be used to<br />

recognize <strong>the</strong>se generous contributions to Gilda’s <strong>Club</strong><br />

<strong>New</strong> <strong>York</strong> <strong>City</strong>.<br />

The donor’s wall (9’ high by 13’ wide) can be found in<br />

our clubhouse on West Houston Street on <strong>the</strong> main floor<br />

corridor leading towards our grand Dance Hall. In this<br />

space our members congregate for social events, yoga<br />

classes, wellness groups and lectures.<br />

Living with cancer?<br />

Come as you are.<br />

Donor’s<br />

Wall<br />

In honor <strong>of</strong> your dedication to Gilda’s <strong>Club</strong> <strong>New</strong> <strong>York</strong><br />

<strong>City</strong> we will acknowledge gifts <strong>of</strong> $2,500 or more with a<br />

permanent inscribed plaque on our donor mural. Below,<br />

please find our various naming opportunities and levels.<br />

$2,500 - $4,999 = small books (far right panel)<br />

$5,000 - $14,999 = drawer handles and key holes<br />

$15,000 - $49,999 = medium books (far left panel)<br />

$50,000 - $99,999 = large books (center panel)<br />

$100,000 - $199,999 = objects (middle shelf)<br />

$200,000 - $499,999 = objects (top shelf)<br />

$500,000 - $1,000,000+ = bookcase crowns<br />

Planned gifts are also encouraged and welcomed with<br />

appropriate recognition.<br />

We cannot guarantee <strong>the</strong> naming <strong>of</strong> specific items. We will<br />

do our best to accommodate requests based on availability.<br />

Work on <strong>the</strong> Gilda’s <strong>Club</strong> NYC donor’s wall began in late<br />

2009. The pro-bono project was led by Judy Futterman,<br />

Lucylee Chiles and over twenty teachers and students<br />

from <strong>the</strong> Isabel O’Neil Studio Workshop. The artists<br />

demonstrated <strong>the</strong>ir talents by painting <strong>the</strong> objects and<br />

books seen in <strong>the</strong> mural. The objects, drawer handles and<br />

chinoiserie carvings were enhanced with 24 carat gold leaf.<br />

Judy has been a student, teacher and Board member at<br />

<strong>the</strong> Studio for many years in addition to receiving <strong>the</strong><br />

Studio’s highest award <strong>of</strong> Master. Lucylee was <strong>the</strong> Executive<br />

Director <strong>of</strong> <strong>the</strong> Studio.<br />

We will be forever grateful to Judy, Lucylee, and <strong>the</strong><br />

Isabel O’Neil teachers and students for bringing <strong>the</strong>ir<br />

beautiful work to our clubhouse.<br />

Photos Credit: Phyllis Murray


Donor’s Wall <strong>Inscription</strong> and Payment <strong>Form</strong><br />

Please print your inscription here.<br />

Once your personally inscribed plaque is affixed,<br />

we’ll invite you to see our Donor’s Wall and<br />

provide you with a personal tour <strong>of</strong> <strong>the</strong> <strong>Club</strong>house.<br />

|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|<br />

Please complete and return this form by fax at 212-647-1154 or mail to 195 West Houston Street, NY, NY 10014.<br />

If you need fur<strong>the</strong>r assistance, please contact Eileen Jackson at 212-647-9700 or ejackson@gildasclubnyc.org<br />

Because <strong>of</strong> variation in character width we may need to propose modifications to an inscription so it will fit.<br />

We have found that 20-24 characters <strong>of</strong>ten work best, depending on width <strong>of</strong> varying characters (a capital I<br />

takes up less room than a capital W, for example.)<br />

Date: ____________First Name: ____________________________Last Name: ______________________________________<br />

Name: ________________________________________________________________________________________________<br />

(as you would like it to appear in publications)<br />

Address: _______________________________________________________________________________________________<br />

<strong>City</strong>:___________________________________________________ State:________________ ZIP: _____________________<br />

Daytime Phone #: ________________________________ Email:_________________________________________________<br />

Please check one: r Check: $ ___________________ (Made payable to: Gilda’s <strong>Club</strong> <strong>New</strong> <strong>York</strong> <strong>City</strong>)<br />

r Credit card: (circle one) AMEX VISA M/C<br />

Card #: ______________________________________________________________ Exp. Date: _______________________<br />

Name: ______________________________________________________________ Amount: __________________________<br />

(as it appears on Credit Card)<br />

Signature: ____________________________________________________________ Date: ____________________________<br />

Gilda’s <strong>Club</strong> NYC will review <strong>the</strong> form and content <strong>of</strong> your proposed inscription and discuss with you any necessary changes.<br />

If you have any questions, please don’t hesitate to contact Office <strong>of</strong> Development at 212-647-9700.

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