Carpe Unitas Commitment Card

We, Spouse 1* and Spouse 2*, hereby commit to give    * to support the Carpe Unitas campaign at Veritas Academy as specified in this agreement. Our gift will be given in the form of:
Cash Contributions
Marketable Securities
Other*
(select all that apply)
Check if "yes"
- A one-time giftMade in installmentsA combination of a one-time gift and installments
- One-time gift to be made on or before Date by *
- One-time gift of * to be made on or before Date by * AND
- Installments to be made by over the course of One Two Three Four Five years with equal payments of beginning on or before Date* .
- We will be transferring shares of Security Name and Ticker Symbol to Veritas Academy on or before Date . The current estimated value of this donation is .
- If your donation will be made in a format other than the options above, please provide a description here:
- Spouse 1 Signature*
- Spouse 2 Signature*
- Spouse 1 Name*
  
  First NameLast Name
- Spouse 2 Name
  
  First NameLast Name
- Email*
  example@example.com
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Should be Empty: