Pledge Form 2025
For which branch are you making a pledge?
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Ozarks Regional YMCA Association
Cassville YMCA
Dallas County Area YMCA
Lebanon Family YMCA
Monett Area YMCA
Ozark Mountain Family YMCA
Pat Jones YMCA
YMCA Camp Wakonda
YMCA School Age Services
First and Last Name
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First Name
Last Name
Business Name (if pledge is for a business)
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
Pledge Amount
*
How would you like to arrange payment? Full Pledge Payments Due by Dec 15, 2025
*
I will pay online at orymca.org/give
Please invoice me
Please call or email me to arrange a payment plan
My gift is in memory or honor of:
Please acknowledge this gift by the name of:
Please keep my gift confidential
*
Yes
No
Date
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Month
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Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
PLEDGE
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