Small Business Service Bureau Inc

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					                          To make a donation by mail

Please print this form, fill it out, and mail it to:

                            Worcester Youth Center
                            326 Chandler Street
                            Worcester, MA 01602

I/We would like to support the programs at the Worcester Youth Center with
a contribution of:

   □ $50

   □ $100

   □ $250 donors at the $250 level and above will be recognized as
       members of the Mentor Society

   □ $500

   □ Other amount $______________________

   Enclosed is my check made payable to: Worcester Youth Center

   Please print your name, as you would like it to appear for recognition:

$50,000 AND ABOVE
UMass Memorial Health Care
City of Worcester
  Community Development Block Grant
  Executive Office of Public Safety Grant
  Worcester Public Schools (Alternative High School Program)
  Weed and Seed Program

United Way of Central Massachusetts

Fallon Community Health Plan
George I. Alden Trust
Bank of America
Clark University
Fred Harris Daniels Foundation, Inc.
The Francis A. and Jacquelyn H.Harrington Foundation
Greater Worcester Community Foundation
Health Awareness Services of
  Central Massachusetts
Bradley Higgins Foundation
Rockwell Foundation

Digital Federal Credit Union
Jewish Community Foundation-Melvin S. Cutler Charitable Foundation

Citizens Bank
Patrick- Murray Inaugural Committee

Commerce Bank And Trust Company
Melvin S. Cutler Charitable Trust
Hart Foundation
Kingsley Foundation
Aksel Nielsen Foundation

UP TO $999
Commonwealth National Bank
Flagship Bank
The Fletcher Foundation
Bowditch and Marinelli, Inc.
Coghlin Services Fund
Lamoureux – Pagano & Assoc., Inc.
Patrick O'Connor Photography
Recycling Associates, Inc
Small Business Service Bureau, Inc.
Stowe and Degon

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