Capital Campaign Online Pledge Card

Please provide the following contact information:

Would you like to make a pledge?

Yes No

Amount of Gift (over three year period)

$

Initial Payment

$

Balance

$

How often would you like to make payments?

Annually
Quarterly
Semi-annually
Monthly

When would you like to make your first payment?

Which payment method would you prefer?

Cash/Check
Stock
Automatic Payment

Does your company have a matching gift program?

Yes No

If yes, company name:

Please confirm your pledge intention by checking the box.

I confirm my pledge intention.