Clone of Capital Pledge Form

Donation towards

I will fulfill the pledge by Date* .

Transfer details and comments

Print Name

First NameLast Name

Date

Signature

E-mail:

Phone Number

Zelle: donation@chinmayajyoti.org with message "Phase 2"

Please make the checks payable to “Chinmaya Mission San Diego” and mail to: Chinmaya Mission San Diego, 12249 Ninth Street, Poway, CA 92064

Stock donations: Name of Brokerage: Charles Schwab | Name of Charity: Chinmaya Mission San Diego | Account number: 8115-1067 | DTC 0164

Please contact us for more information:

Nikhil Varaiya (858) 204-5447 | nikhil@chinmayajyoti.org
Hema Subburaman (858) 248-6434 | hemas@chinmayajyoti.org
Prem Venkatesan (858) 342-4379 | prem@chinmayajyoti.org

CMSD is a 501(c)(3) non-profit organization (Tax ID: 20-3364198)

12249 Ninth Street, Poway, CA 92064 | 858-748-2013 | www.chinmayajyoti.org