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Text in this example:
Pledge Form [Organization Name]
[Mission Statement] Donor Information (please print or type) Name Billing Address City State ZIP Code Telephone (home) Telephone (business) Fax E-mail Pledge Information I (we) pledge a total of $__________________ to be paid:
_____ now _____ monthly _____ quarterly _____ yearly. I (we) plan to make this contribution in the form of:
____ cash ____ check ___ credit card ___ other. Credit card type Credit card number Expiration Date Authorized signature Gift will be matched by _____________________ (company/family/foundation).
______ form enclosed _____ form will be forwarded Acknowledgement Information Please use the following name(s) in all acknowledgements. ____ I (we) wish to have our gift remain anonymous.