Westside Capital Campaign Pledge Form

Westside Capital Campaign Pledge Form
Contact Name

First NameLast Name
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Donating on behalf of...
Name of Company/Corporation
In support of the Westside Capital Campaign, I (we) pledge the sum of
Balance to be paid as follows:

Other
Annually over # of years* (default is December)
Every 6 months beginning Date*
Every 3 months beginning Date*
Beginning Date*
My (our) preferred method of payment is:
*Note: Please do not use this form if you intend to request a transfer from a donor advised fund. Call the Office of Advancement for more information.
My (our) intention is that this gift be (check one):
I would like to designate the funds in the order of the following priorities:
For this pledge gift, I would like to...
Please acknowledge and credit this gift in the following way:
Name of Company/Corporation/Individual
Acknowledgement letter to be sent to:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
*All gifts are tax-deductible to the extent allowed by law.
Should be Empty: