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ACL CENTENNIAL CAMPAIGN PLEDGE FORM
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Email
*
Your email
Your name and address (if not an ACL member)
Your answer
What is the total amount of your two-year pledge?
Your answer
How will your commitment be met?
You will receive an invoice which can be paid by credit card or sent in with a check.
Check will be sent for partial payment
Credit Card
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Remainder of your pledge to be paid:
We will send you a reminder based on your selection.
Annually
Semi-Annually
Quarterly
Monthly
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I/We would like to make our gift through stocks or equities.
YES - we will contact you
NO
Clear selection
My company has a Matching Gift Program
Yes - we will contact you
No
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SPECIAL TRIBUTE
You may donate in honor or in memory of a teacher or student. Write your tribute below.
Your answer
GIFT RECOGNITION
List how you would like your name(s) to be listed in acknowledgements.
Your answer
GIFT DESIGNATION
Your gift will be unrestricted to meet the campaign goals unless instructions are given below.
Your answer
A copy of your responses will be emailed to the address you provided.
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