Colfax Childcare Center Pledge Form

Childcare Center Pledge Form

All donations are tax deductible and 100% of funds go directly to the childcare center fund.
Donor Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Pledge Details
Pledge Amount $
Frequency of Payment

One-timeMonthlyQuarterlyAnnually
Please select the preferred payment method

CashCheckCredit CardBank Transfer
Acknowledgment:

I/we commit to contribute the above-mentioned amount to the Colfax Childcare Center Fund of CEDCO in support of raising the matching funds to meet our goal of $1.7 million.

I/we understand that this pledge is a commitment and will endeavor to fulfill this pledge within the specified time frame. All payment are made to CEDCO.

A member of CEDCO will contact you with further details. If sending a check, please address it to: Colfax-Mingo CSD, c/o CEDCO, 1000 N Walnut, Colfax, IA 50054
Date

MonthDayYear
Date
Signature

Powered by Jotform SignClear
Should be Empty:

Childcare Center Pledge Form