Grape Discovery Center Pledge Form

I agree, The Grape Discovery Center will be a showcase for the Western NY and Northwestern PA grape industry, and I wish to be a donor.  (The Concord Grape Belt Heritage Association is a 501-c-3 organization. This will allow the new center to operate as a nonprofit enterprise and provide donors with tax deductibility for their charitable gifts.)

Pledge Level

Level of Giving Dollar Amount
(Please select your choice)
Vineyard $50,000 and up
Vine $10,000 - $49,999
Cluster $5,000 - $9,999
Grape $1,000 - $4,999
Tendril $500 - $999
Leaf $250 - $499
Bud Up to $249

Pledge Information

I (We) pledge a total of $ to be paid:

Donor Information

Full Name *
Daytime Phone *
Fax
Email Address *
Street Address *
City * State * Zip *

Acknowledgement Information

I (We) wish to remain anonymous.

Please use the following name(s) in all acknowledgements:

Corporate Members

Lake Erie Wine Country   Growers Co-Op   Double A Vineyards   Cliffstar Corporation   Welchs   NYWGF

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