Keewaydin’s Annual Report of Giving Listing Request

Form for donors to indicate how they would like their name to appear in the Northwest Wind giving lists.

Name
First Last
Donor Listing*
I am requesting the following changes be made in Keewaydin’s Annual Report of Giving.
- Please list my name as indicated below.
- Please attribute my donation to “Anonymous.”
Please list my name as:
(Type your name exactly as you want it appear in the 2021 Northwest Wind. Note: This will change all references to your name in the publication.)
Donor Level
I would prefer to have my name listed as above, but identified as giving at the level below (please check one)
- Friend of Keewaydin up to $99
- Bow Paddlers $100+
- Stern Paddlers $250+
- Wannigan Club $500+
- Paddle Club $1,000+
- Canoe Club $2,500+
- Trippers’ Circle $5,000+
- Directors’ Circle $10,000+
- Leadership Circle $25,000+
- Keewaydin Society $50,000+
Consent
- Apply these changes to this edition of the 2021 Northwest Wind only.
- Apply these changes to this edition of the 2021 Northwest Wind as well as subsequent donor listings.

Keewaydin Foundation

500 Rustic Lane, Salisbury, VT 05769
(802) 352-4247

Email

The Keewaydin Foundation is a Vermont Non-Profit Corporation, recognized as both a registered Canadian and U.S.501(c)(3) charitable organization.

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