Donation Form

I'm Proud to Support Polish Youth Baseball and Softball

Name: _______________________________________

Address: _____________________________________

City: ________________________________________

State: _________________________ Zip: __________

Make Checks payable to:

Polish National Youth Baseball Foundation

Send Checks to:

PNYBF- Internet, 50 Middletown Ave., East Hampton, CT 06424-1730

If you wish to have a Cap or T-Shirt, Please indicate below:

$50 Donation $100 Donation

/_/ Baseball Cap Polish Baseball T-Shirt

Specify Size: __ Small __ Medium __ Large __ X Large