Campaign 100 Pledge Form

Campaign 100 Pledge Form
PLEDGE INFORMATION
I pledge a total contribution to LCIF of US$. *
My first payment will be US$ *
My first payment date will be by *

Month Day Year
Payment Frequency *

Monthly Annually All at Once
Enter Monthly Amount
Enter Yearly Amount
Payment Method *

Credit Card/PayPal* Check Wire Transfer
*Please submit your online donation at lionsclubs.org/donate.
Pledges equal to or greater than US$25,000 are payable over five years; Pledges of US$1,000 or more are payable over three years, unless otherwise requested by the donor. If no payment frequency is selected, the Foundation assumes equal annual installments based on pledge amount.

Visit lcif.org/donate to make your gift online and to learn about other ways to give.
DONOR INFORMATION
For pledge recognition and recording purposes, please provide the following information:
Name *
Address *
City *
State/Province *
Zip/Postal Code *
Country *
Email *
Phone *
Member ID
Club Name
District Name
Choose if anonymous gift

Please keep my personal information anonymous. By selecting this box, I understand that my club or district (if any) may still receive recognition for my gift.
If above box is not selected, your name, district (if applicable), and donation range will be listed online here
Consent acknowledgement *

I hereby consent to sharing the above information with LCIF for purposes of this pledge, and further acknowledge that I have read and agree to comply with LCI’s Privacy Policy and Terms of Use.
If above box is selected, I further acknowledge that I have read and agree to comply with LCI’s Privacy Policy and Terms of Use.
LCI and LCIF are Equal Opportunity Providers.

Lions Clubs International Foundation (LCIF) is a 501(c)(3) tax-exempt charitable organization.
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Campaign 100 Pledge Form

PLEDGE INFORMATION

DONOR INFORMATION