
| Item | Price | Quantity | Total |
|---|---|---|---|
| Individual | |||
| Beach Master | $45 | ________ | ________ |
| Catalina Crew | $100 | ________ | ________ |
| Squadron Leader | $300 | ________ | ________ |
| Guardian Angel | $500 | ________ | ________ |
| Honorary Life | $1000 | ________ | ________ |
| Corporate | |||
| Investor | $300 | ________ | ________ |
| Development | $500 | ________ | ________ |
| Research | $800 | ________ | ________ |
| Army-Navy "E" Award | $1500 | ________ | ________ |
| "Spirit of the Catalina" | |||
|---|---|---|---|
| Individual | $5,000 | ________ | ________ |
| Group or Squadron | $10,000 | ________ | ________ |
| Corporate | $50,000 | ________ | ________ |
| "Rivet Membership" | |||
| Individual | |||
| Platinum | $1,000 | ________ | ________ |
| Golden | $500 | ________ | ________ |
| Silver | $250 | ________ | ________ |
| Bronze | $100 | ________ | ________ |
| Corporate | |||
| Platinum | $10,000 | ________ | ________ |
| Gold | $5,000 | ________ | ________ |
| Silver | $2,500 | ________ | ________ |
| Bronze | $1,000 | ________ | ________ |
| Total Amount | ___________ |
In what name(s) the donation is made:_______________________________________
Name and address of donor:
Name:_____________________________________________________
Address:___________________________________________________
City:___________________________ State:_______ Zip:____________
Phone Number:__________________________ Email:________________________
Form of payment can be check or money order. Please print a copy of this form and mail it with your payment. Please make it out to the PBY CATALINA FOUNDATION and send it to
P.O. Box 6224, Santa Rosa, CA 95406. If you have any questions, you can call us at (707) 546-6876 or email us at PBYCAT@sonic.netYour time and your support are deeply appreciated.
The Mission:

