At the Water's Edge Campaign Pledge

At the Water's Edge Campaign Gift Commitment
YES! I/we want to help shape the future of GLLM with a special, above-and-beyond gift. I/we want to give a total of $amount* to the At the Water's Edge campaign .
I/we intend to give this gift in the following way:

An upfront, one-time giftA partial gift nowA recurring giftOther
An upfront, one-time gift of $amount will be given by Date.
A partial gift of $amount will be sent now. The remaining amount will be completed within 2 years on a basis.
This will be a recurring gift of $amount on a basis over 2 years.
I/we will gift appreciated securities or another asset. Please describe.
Name and Signature
Name(s)*

First Name (s)Last Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
E-mail:
Please provide your email address if you would like a digital copy of your response to be emailed to you for your records.
Signature
Should be Empty:

Name and Signature