CHESTER MUNICIPAL HERITAGE SOCIETY

LORDLY ESTATE RESTORATION CAMPAIGN

WINDOWS ON THE PAST - OPPORTUNITIES FOR THE FUTURE

Donation and Pledge Form

Name _________________________________________________________________ _

Chester Address. _________________________________________________________ _

Winter Address __________________________________________________________ _

Email. ________________________________________________________________ _

Chester Phone ______________________ Winter Phone ______________________ _

Amount Donated. ______________________________________________________ _

Amount Pledged _______________________________________________________ _

2008, _________ 2009 __________ 2010 __________ Other _____________________ _

Name(s) to be used in Recognition __________________________________________ _

Naming Opportunity ____________________________________________________ _

Signature _____________________________________________ Date _____________ _

Cheques should be made payable to Chester Municipal Heritage Society may be sent to PO box 628,

Chester, NS, BOJ 1 JO

CMHS is a registered charity: charitable # 118851468RR0001