PLEDGE FORM Clinchfield Railroad Caboose Restoration
Thank you for your contribution to the Clinchfield Railroad Caboose Restoration Project! Please use this form to commit your pledge. Once this form is submitted, you will be invoiced by the Town of Unicoi in the amount indicated. Payments may be made at Town Hall (3600 Unicoi Dr.), Monday-Friday, 8 a.m.-5 p.m. or mailed to P.O. Box 39 Unicoi, Tennessee 37692. Contact Tina Wilcox / (423) 734-7162 /
Name / Organization
Requested Format - 4230001234
Updates on Project
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Donation of Materials
Value of Donation
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Authorization & Signature
I authorize the Town of Unicoi to invoice me for the amount indicated above and, furthermore, authorize the town to utilize said funds or materials for the Clinchfield Railroad Caboose Restoration Project.
This checkmark constitutes my signature on this contract and acts as legal assurance that I agree to the terms indicated in this document.
Questions and comments
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This form was created inside of Town of Unicoi, TN.