PLEDGE FORM

PLEDGE FORM
I/we hereby pledge the following to Open Window Theatre's Capital
Campaign.
Name
Name preferred for recognition purposes:
Address
Email
example@example.com
Phone
Format: (000) 000-0000.
Total Pledge amount $
Initial payment $
Balance $
Balance of payment will be paid as follows beginning on

MonthDayYear
Date
(Payments may be made over a 2-year period)
My gift is to be designated as follows:
Other
Method of Payment (Check all that may apply):
Other
Or, Grant will be requested from:
Would you like this gift to be anonymous?
For gifts of stocks, bonds, mutual funds or IRA Distribution, etc, please contact Mark Dittman, Executive Director at mdittman@openwindowtheatre.org
The IRS has different rules for distributions from Donor-Advised Funds, Private Foundations, and Lead Trusts related to pledges. If you intend to recommend grants from one of these sources, please indicate above.
Signature
Date

MonthDayYear
Date
Remind me about my pledge via:
Please make checks payable to Open Window Theatre
5300 S. Robert Trail Suite 400
Inver Grove Heights, MN 55077
Should be Empty: