Catholic Social Services                The Board of Directors & Staff of the Greater Hazleton Office             request the honor of your participation in our CENTURY CLUB 2009 ___________________________________________            ____________________________________________ Name                                                                                                            Phone ___________________________________________            ___________________________________________ Street Address                                                                                               E-mail Address ________________________________________________ City, State, Zip Code Pledge Level: ___ Diamond ($1000)                                               Payment Plan (Optional): ___ Quarterly ___ Monthly ___ Platinum ($750) ___ Angel ($500)                                                      I would like to give my gift as: ___ Gold ($300)                                                       ___ A Memorial for ________________________________ ___ Silver ($200) ___ Century ($100)                                                   ___ In Honor of ___________________________________   TAX DEDUCTIBLE

Please print this Pledge Card out and send it to:

            Catholic Social Services

               Attn: Century Club

               214 W. Walnut Street

               Hazleton, PA  18201