CHEST Foundation Founders Society Join the Founders

I/We wish to continue supporting the CHEST Foundation’s mission and building
the foundation’s endowment by joining the Founders Society at the following level:
Leadership Circle

$50,000+

1935 Circle – Murray Kornfield Circle

$100,000+

1996 Visionary Circle

$250,000+

Naming Opportunity

$500,000+

Naming Opportunity

$750,000+

Naming Opportunity

$1,000,000+

Name____________________________________________________________________
Street Address____________________________________________________________
City__________________________________________ State_________ Zip__________
Primary Phone____________________________________________________________
Mobile Phone_____________________________ _Business Phone___________________

PAYMENT INFORMATION
CHECK
CREDIT CARD (circle one)

Visa

M/C

Amex

Discover

Card Number_________________________________________________
Expiration Date____________________ CVV#_______________________
PLEDGE Please charge my credit card
Payment Schedule (circle one)
One Time Semi-annually

Quarterly_Monthly

Date I wish to make my first payment:____________
STOCK TRANSFER
DONOR ADVISED FUND
The CHEST Foundation will provide information about other giving vehicles upon request. Contact the
foundation office at 224-521-9527 for more information about the Founders Society and other ways you can
help champion lung health.
Please make checks payable or endorse securities to the CHEST Foundation, and send your contributions to:

CHEST Foundation

2595 Patriot Boulevard

Glenview, Illinois 60026

United States
Contributions are tax-deductible as provided by law.
The CHEST Foundation is a 501(c)3 tax-exempt organization.