Partnership Campaign for Rock Point Pledge Form

Pledge Form

I/We would appreciate reminders prior to these payment dates by:

Telephone Letter Email

I/We understand these payments may be made in cash, by check, by online payment, or in securities. Other gifts such as land or tangible assets must be mututally agreed upon before the gift is made.

My/Our gift is unrestricted:

Yes No

Or- My/Our gift is designated for:

Leadership Preserving the Historic Bishop’s House Energy Self-Sufficiency Improving Public Access Upgrading Facilities for Better Use

I/We would like this gift to be:

In Memory of: In Honor of: Anonymous

Name

First Name Last Name

I/We request that our executor honor this pledge:

Yes No

Signature

Clear

Date *

Date

Full Name *

First Name Last Name

Spouse/Partner's Full Name, if Applicable

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number

Email *

example@example.com

To donate securities, contact Freda Tutt, freda.tutt@raymondjames.com, 802-488-8729.

You may honor your pledge online via our Secure Vanco site by clicking the image below

or by mailing a check to:

The Partnership Campaign for Rock Point
5 Rock Point Road
Burlington, VT 05408

All gifts to the Partnership Campaign for Rock Point are tax deductible to the extent of the law and will be acknowledged according to IRS guidelines.