Light of Orlando Young Life Urban - One Heart Pledge Form

Light of Orlando Young Life Urban One Heart Pledge Form
Name*

First NameLast Name
Company Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
All checks should be payable to the: “Light of Orlando Young Life Urban FL230,” writing “FL 230” in the memo.

Please mail checks to the following address:

Light of Orlando Young Life Urban FL230

P.O. BOX 468

Clarcona, FL 32710
Do you currently pledge to Light of Orlando Young Life Urban?*

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Levels of Giving (please check one)

Platinum $10,000Gold $7,500Silver $5,000Bronze $2,000
Pledge Amount*
Pledge Duration (Annually)*
By signing below, I/we pledge to contribute the specified amount / per year to Light of Orlando Young Life.*

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Light of Orlando Young Life Urban One Heart Pledge Form