YMCA 2026 Annual Giving Campaign Pledge Form

Arlington-Mansfield Area YMCA - 2026 Annual Giving Campaign Pledge Form

Make a pledge TODAY! Your support provides access for ALL. Please complete all required information below.
Donor Full Name*

First NameLast Name
Email Address*
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Phone Number*
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Mailing Address*

Street Address

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Preferred Method of Contact*

Phone Call (please ensure we have your preferred phone number)Text (Please be sure we have a cell number)EmailAll methods work for me
The Arlington-Mansfield Area YMCA has two Giving Societies that support the Annual Giving Campaign. Read more about them here.
Are you willing to make a gift/pledge to qualify for one of the two giving societies?*

I/we will become a Triangle Society member with a 3-year commitment of at least $3,500 (at least $1,666/year) to the Annual Support CampaignI would like to be a Chairman's Roundtable member with a 1-year commitment of at least $1,000 to the Annual Support CampaignI am not interested in either Giving Societies at this time
Select Pledge Amount*

$25$50$100$250$500$1,000 (Chairman's Roundtable Recognition)$2,500 (Chairman's Roundtable Recognition)Other
I would like to make my donation:*

Full payment by online debit/credit card (a payment link will be in the pledge confirmation email.)I would like an invoice sent to my email address.I prefer a payment schedule set up with my credit card. (Someone from the Development team will contact you to add your credit card information)
Payment Schedule

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Start date for first payment

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Date
Is there a branch or program you would like to support with your pledge?
Would you like to make this gift in honor or in memory of someone?*

In honor ofIn memory ofNo, this is a general donation
Name of Honoree or Memorial (if applicable)
Please indicate how you would like your donation to be recognized.
Please indicate a name, company, organization, anonymous, etc.
Double Your Donation: are you or your partner employed at a company that matches charitable donations?

Yes, this gift is eligible to be matched!
Company Name
Who helped you with this donation?
(YMCA staff, board member, or other)
Are there any notes you would like to include about this donation?
Example: Are you supporting a particular event or program with this donation
The Arlington-Mansfield Area YMCA is a 501(c)(3) non-profit, charitable organization dedicated to helping children and families live healthier, more productive lives in spirit, mind and body. By signing below, you agree to support the Y with the donation or pledge above.

Together we make a bigger impact. Thank you!
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Arlington-Mansfield Area YMCA - 2026 Annual Giving Campaign Pledge Form