Clarksville Academy Annual Giving Fund

Our family would like to make the following gift to the 2003-2004 Annual Giving Fund

Indicate the amount of your gift

$150

$250

$500

$1000
Gifts of $1000 and above entitle the donor to membership in the Column Club

Other

Indicate your preference

		We are mailing our gift to Clarksville Academy today.
		Our gift will be sent before December 31, 2003.
		We would like to make our gift in two payments. One half of our gift amount is enclosed and the other half will be sent in .

Provide your name and telephone number

		Your Name
	(xxx-xxx-xxxx)	Telephone Number (to confirm your pledge only)

Please send your gift to:

Clarksville Academy Annual Giving Fund

710 N. Second Street

Clarksville, TN 37040