NCV Pledge Form

Pledge Form
Thank you for being a supporter of NCV by pledging funds toward our vision!

If you would prefer a paper pledge form, please visit this link to print, sign, and return.

Please reach out to dale@newcommunityvision.org for any questions.

Donation Tiers:

Champion: $750,000+
Benefactor: $500,000-$749,999
Ambassador: $250,000-$499,999
Conservator: $100,000-$249,999
Guardian: $50,000-$99,999
Protector: $25,000-$49,999
Defender: $10,000-$24,999
Steward: $5,000-$9,999
Friend: $1,000-$4,999
Contact Info
Official Donor (For IRS purposes, only one donor can be listed on the tax receipt.)*

First NameLast NameSuffix
If there are any additional names associated with this donation, list them here.
Official Email*
example@example.com
Additional Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Official Pledge
How much do you pledge to donate to New Community Vision?*
The minimum pledge online is $1,000 due at the end of the year. For smaller amounts, please make an immediate donation or print out the form for the amount you would like support.
We/I understand that New Community Vision will incur financial liabilities, make certain commitments, and take actions based on my/our pledged commitment to fulfill this donation(s).*

We/I understand.
Payment Due Date: Pledged funds to be requested in the second half of 2024. Donors will be contacted with the exact date for funds to be received when NCV has committed to exercise our purchase option. If desired, pledges toward operations or land purchase CAN BE FULFILLED at any point in 2024.*

We/I understand.
By signing below, we/I pledge to contribute the amount listed by the payment due date. *

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Thank you for your contribution.
Signer Name

First NameLast Name
Today's Date

MonthDayYear
Date
Pledge Fulfillment
All gifts are tax-deductible as prescribed by law. New Community Vision’s tax identification number is: #88-3911974. Please indicate your fulfillment method below.*

Cash (Check, Direct Deposit, Wire)Stock transferDonor Advised FundsFamily FoundationClick this option to write in another fulfillment method
Foundation Name
Foundation Email - Optional
Foundation Phone Number - Optional
Please enter a valid phone number.
Foundation Address - Optional

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gift Use
We commit our gift to New Community Vision (NCV) and direct its use to:*

Buy the land. Use my gift to grow the land acquisition fund.Use my donation where its needed most. (Land acquisition and operational expenses such as environmental studies, legal and accounting, land planning, etc.).
Recognition
Would you like this gift to be anonymous?*

YesNo
Please write exactly how you'd like this gift to be publicly acknowledged. *
Have Questions?
Contact Dale Lersch, NCV Treasurer:

dale@newcommunityvision.org

(860) 833-7850

PO Box 144
Northport, MI
49670

More info about NCV is available at: newcommunityvision.org
Should be Empty:

Pledge Form

Contact Info

Official Pledge

Thank you for your contribution.

Pledge Fulfillment

Gift Use

Recognition

Have Questions?