New York Junior League

2019 Winter Ball Donation Pledge Form

*Donor Name

*Donation Amount

In Honor of

In Memory of

*I would like my name to appear on the invitation and in event materials:

Please enter name or company name below as you wish it to appear in program and event materials.

*Program Listing

*Contact Name

*Email Address

*Telephone Number

*Payment Options

The NYJL can charge my credit card on December 15, 2018.

The NYJL can charge my credit card on January 15, 2019.

The NYJL can charge my credit card on February 15, 2019.

I will mail a check to the NYJL by February 1, 2019.

*Card Type

*Name on Card

*Card Number

*Expiration Date

If paying by check, please send to:

The Junior League of the City of New York, Inc.

ATTN: Winter Ball

130 East 80th Street

New York, NY 10075

Fax: (646) 390-6047

For further information, please contact the New York Junior League at (212) 606-0248 or winterball@nyjl.org.

All donation are tax deductible. Thank you for your generous support of the New York Junior League!

*Please type your initials to serve as an electronic signature for this agreement:

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