Discovery Fund Pledge Form

The Madison Community Montessori School Discovery Fund is our largest fundraising effort. Each year, MCMS relies on the generosity of our parents, grandparents, faculty and staff, Board of Trustees, alumni and friends to support the operation of the school. Your gift supports learning experiences and school purchases for our students and staff throughout the year, including going-outs for students, professional development for staff, technology and building innovations, and enhancements for our classroom environments.

Every gift, no matter the size, ensures that we are able to provide the very best in Montessori education for our bright, young minds. Please consider making a pledge today to support Discovery for all of our students this school year!

Yes, I want to support Discovery! Pledge Amount: *

$25 $50 $100 $250 - Trailblazer $500 - Innovator $1000 - Achiever $1972 - Visionary Other Amount

Options for fulfilling my pledge: *

I am mailing a check made out to MCMS in the amount noted above Please evenly divide my gift by the number of remaining tuition payments, and add it to my tuition invoice beginning next month (current families only)* Please add my entire gift to my next tuition invoice (current families only)* Please debit my bank account via ACH/e-check (complete ACH details below)

To pay by credit card, visit our instant gift page. MCMS accepts donations via credit card, however, checks, ACH, and tuition invoicing are preferred to avoid card processing fees.

* If your tuition is currently paid via ACH and you select this option, your donation will be added to your tuition invoice and debited along with your tuition.

To help with our fiscal year accounting, we request that you fulfill your pledge no later than May 31 of the school year in which it is made. Your gift is fully tax-deductible to the extent allowed by law.

Please withdraw via ACH out of the following account: *

Name of Financial Institution

Account Information *

Account Number (from a check) Routing Number (for your bank)

This account is a: *

Checking account Savings account

By signing below and submitting this form, I authorize Madison Community Montessori School, Inc. ("MCMS") to initiate an electronic withdrawal from my checking or savings account in the amount and from the account listed above. I give permission for MCMS to retain this information for the duration of the school year in which I provide it, so that I can authorize future ACH withdrawals using the retained information.

Signature *

Note: this form is encrypted and only MCMS will have access to the data submitted. Clear

Your Name

First Name Last Name

How would you like your donor name displayed for recognition purposes?

Your Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Email address *

example@example.com

Phone number

Please enter a valid phone number.

Please enter the area of the MCMS experience that you find the most compelling to support:

Please indicate your relationship to MCMS (select all that apply): *

Current Family Staff Alumni Student Board Member Alumni Parent Grandparent Friend or Extended Family Other

Would you like to make this donation in honor or in memory of someone?

My gift is in honor or memory of:

Would you like like us to provide notification of your gift to someone else?

Please send notification of this gift to:

Notification Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Bank Account Information and Authorization for ACH

Your Information

Details about your gift