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Save your place in history by reserving your commemorative seat plaque today Partnership with Preservation Trust of Join with the Vermont Lake Monsters and the Preservation Trust of Vermont in preserving the historic legacy of Centennial Field by making a tax-deductible contribution to the Preservation Trust. Your contribution will help ensure that Centennial Field continues to serve as the home of amateur and professional in our community. As our way of saying ‘Thank you’ and recognizing your gift, we’ll acknowledge your generosity by affixing a permanent commemorative plaque on a seat at ACT QUICKLY! Centennial Field. Your $100 contribution will be eligible for A limited number of commemorative seat tax deduction. The Preservation plaques will be available. Priority for selection Trust of Vermont was founded in 1980 of the preferred seat for your recognition plaque with the goal of helping communities save and use will be determined by the date your payment was their historic buildings and sites. Centennial Field first received. Visit ptvermont.org for more information. opened on the campus in 1906.

Name:______Phone: ______E-Mail:______Address:______City:______State:___ Zip: ______Number of seats:______x $100.00 per seat = TOTAL: $______enclosed with this form. Note, if you’d like to order multiple seats with different engravings, please send additional forms. Seat Request: PLEASE ENGRAVE MY PLAQUE AS FOLLOWS: Section_____ All symbols (comma, period, dash) will be considered one space. All text will be CENTERED unless otherwise noted. Row_____ Seat #_____ Make checks out to: EXAMPLE Preservation Trust T H E S W A N S O N F A M I L Y of Vermont , J with “Centennial Field” in memo line R O N , D I A N E & O N Please mail this form along with your $100.00 tax deductible contribution (per seat) to: Preservation Trust, 104 Church Street, Burlington, VT 05401. Pay via mailed check, or pay online at ptvermont.org Call (802) 658-6647 or visit ptvermont.org for more info, or to reserve your seat plaque today!