Pledge Form
First Witness Child Advocacy Center's Restoring Hope Capital Campaign
I/We wish to make a gift to the Restoring Hope Capital Campaign.
I/We commit the following:
Total Amount of Gift $
*
Initial Payment $
*
This amount will be charged immediately, however if you don't want to make an initial payment, put 0 for this section.
Balance $
*
Total Amount of Gift - Initial Payment
Payable Over:
*
1 Year
2 Years
3 Years
Pay entire balance immediately
Payment Schedule:
*
Annually
Semi-Annually
Quarterly
Monthly
Pay entire balance immediately
Payment Schedule Amount $
*
(The amount you would like to pay annually, semi-annually, quarterly, or monthly)
Beginning Date
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/
Month
/
Day
Year
Is this a personal or corporate gift?
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Personal Gift
Corporate Gift
Company/Organization (if corporate gift)
Your Name(s)
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
My employer will match my gift
*
Yes
No
Employer (if employer is matching your gift)
Donation Recognition
*
For Donor Recognition, I understand my name/company name will be listed as I have written above.
I wish my gift to remain Anonymous.
My gift is in Honor of:
My gift is in Memory of:
Payment Method
If you are interested in paying by credit card or ACH (direct deposit from bank account) indicate your payment method, and we will call you to collect your payment information. Please send checks or cash to 4 W 5th St., Duluth, MN 55806 with an indication that the payment is for your pledge payment. If you're interested in making a gift in another way (stocks, retirement assets, real estate, life insurance, or bequest) please contact Sue Murphy at 218-727-8353 or smurphy@firstwitness.org.
Payment Method
*
Check (make checks payable to First Witness Child Advocacy Center)
Credit Card
Cash
ACH (Bank Account)
Other
Billing Address (if different than address above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Signature
*
Today's Date
*
/
Month
/
Day
Year
4 W 5th St., Duluth, MN 55806 | 218-727-8353 | info@firstwitness.org | firstwitness.org
First Witness Child Advocacy Center is a 501(c)(3) tax-exempt organization. Gifts are tax deductible to the extent provided by law. First Witness Child Advocacy Center EIN: 41-1737291
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