My Commitment

Make a Pledge
I/we will PLEDGE a donation of:
Amount: $*
Per:*

WeekMonthYearQuarterSemi-Annual
I/we are interested in giving a gift(s) of(check appropriate box below)
Amount: $*
Select all that applies:*

StocksBondsReal EstateIRAWill/EstateOther (*i.e. auto, boat, etc.)
● Name and Signature:
Name:*

First NameLast 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 to be emailed to you for your records.
Should be Empty:

I/we will PLEDGE a donation of: