Student Sponsorship Pledge 26-27

Student Sponsorship Pledge 26-27

Complete this sponsorship pledge form with your contact, commitment, giving strategy, payment, and signature details. All fields are optional unless marked required.
Sponsor Information
Name
Name of Sponsorship Group (if applies)
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
E-Mail(s)
example@example.com
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Commitment and Engagement
Commitment Level

Other
Other Commitment Amount
Commitment Time Frame
Interested in opportunities to connect with your student throughout the school year?
Would you prefer this form be emailed to you?
Would you like a receipt of your donation mailed?
Giving Strategy and Invoicing
Preferred Giving Strategies

Other
Would you like us to follow up with you on the giving strategy that might be best for you?
Please invoice me
Invoice - Preferred Date(s)
ACH Authorization
ACH Authorization Name
ACH Amount Per Withdrawal
ACH Charge Frequency
ACH Charge Date(s)
ACH Billing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
ACH Account Type
Bank Name
Bank Account Number
Bank Routing Number
Bank City and State
Signature Authorization
Sponsor Signature
Signature Date

MonthDayYear
Date
Credit Card Payment Details
Cardholder Name
Payment Card Number
Security Code
Card Expiration
Billing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Charge Frequency
Charge Date(s)
Should be Empty: