You can electronically send in this form but we will also need you to fill it out and mail to us along with a check made payable to the "Gazebo Endowment Fund." These forms can also be picked up at Village Hall.

Mail to:
"Gazebo Endowment Fund"
Inc. Village of Cedarhurst
200 Cedarhurst Ave
Cedarhurst, NY, 11516

Your Name
Address
City
State	Zip
*Enclose is my Gift of:
My gift is made: In honor of
In memory of: Name(s)
Occasion:
Send notification to: Name(s)
Address
City
State	Zip
E-mail
Tel
FAX
*checks made payable to the	"Gazebo Endowment Fund."

Please contact me regarding this matter.