Capital Campaign Pledge Form

Campaign Donors

Our New Boiler!

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Donor Information

Donor's Mailing Address

Campaign Commitment

Pledge Payment Schedule

Gift Recognition

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Matching Gift Information

(Please attach matching gift forms with payments if required by your employer.)
if applicable

Stock Donations

Would you like to make your contribution to be made by donating stock? We will contact you at the information above. Checkbox?

Payment Information

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Checkboxes

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