Clone of WA Capital Campaign

YES! I/We wish to support the Capital Campaign to benefit Western Academy.

Your gift

GIFT AMOUNT

TOTAL PLEDGE AMOUNT

AMOUNT

FULFILLED OVER

INSTALLMENTS BEGINNING

PAYMENT FREQUENCY

PAYMENT FREQUENCY DESCRIPTION

Internal-PaymentCount

Internal-Installment

Internal-PaymentSchedule

{internalinstallment}
EACH INSTALLMENT

{internalpaymentcount77} {paymentFrequency82} payments totaling {amount}

starting {typeA75}

DESCRIBE YOUR PREFERRED SCHEDULE

Company Name

Regarding recognition for this gift:

Payment Method

MAIL CHECKS TO

Western Academy
Attn: Mr. Chris Carroll
1511 Butlercrest
Houston, TX 77080

PAYABLE TO Western Academy
MEMO Capital Campaign

Gifts of appreciated stock, IRA qualified charitable distributions and other assets can bring added tax benefits. Mr. Carroll will contact you to arrange the transfer.

Internal

Your Donation/Pledge Amount to WA

Donor Information

Name as you would like to be recognized

Company (if not a personal gift)

Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Format: (000) 000-0000.

Email Address

example@example.com

Signature

If you have any questions regarding your pledge, payment or subscription, you may reach out to Mr. Tim Keenley at Tim.Keenley@westernacademy.net or via phone at 713-461-7000

Western Academy is a 501(c)(3) non-profit organization, therefore, your donation is deductible for income tax purposes as allowed by law.