Pledge Card
Blair Historic Preservation Alliance

Name:   __________________________________________________________________________

Address: ______________________  City: _______________ State: _______ Zip: _____________

Telephone: _______________________    E-mail Address: ________________________________

I wish to make a Tax Deductible pledge donation of  $ ____________ for the Depot in the Park fund.

	Patron Levels			Donor Level
	Engineer’s Seat: Donation of $5,000 and up			$50
	Conductor’s Circle: Donation of $1,000 to $4,999			$25
	Pullman’s Club: Donation of to $100 to $999			Other $___________

 Check Enclosed     Please send me a statement           Mail to:    BHPA - Depot
                                                                                                            P.O. Box 94
Please your check made payable to the:                                                 Blair, Nebraska  68008
           Blair Historic Preservation Alliance