ANNUAL GIVING PLEDGE FORM

Seven Peaks School is a non-profit and receives no financial support from local, state, or federal sources. Ideally, tuition and Annual Giving fund our yearly operating budget so that the Celebrate 7 Peaks event in March can fund growth initiatives (i.e. Innovation Lab in 2016).

$1,800

The suggested Annual Giving contribution per student to cover the gap between tuition and the operating budget. With your pledge, you will help cover the gap between tuition and the actual cost of a Seven Peaks School education. Your gift is 100% tax deductible and will remain anonymous. Seven Peaks gratefully appreciates gifts of all amounts.

THE GOAL OF THE YEAR’S ANNUAL GIVING CAMPAIGN IS $200,000.

Every penny supports: instructional assistants, art, music, band, P.E., technology, the International Baccalaureate Programme and professional development.

Our participation goal from parents, teachers and administration.

Every gift counts. 

100%

Donation Methods

SVISA     SMastercard     SAmerican Express

Card Expiration: _ _ / _ _

Name on Card:

3 Digit Security Code: _ _ / _ _

Signature:

Depository Name:

Branch:

City:

Routing #:

Accounts #:

Name:

Signature:

Date:

I authorize Seven Peaks School to initiate debit entries to my ________ checking ______ savings account indicated below at the depository financial institution name below and to debit the same such account. I acknowledge that the original of ACH transaction to my account must comply with the provision of US law. I authorize an initial October debit of $___________ with the following amount of $__________ debited in each of the following months: November, December, January and February.

Donation Date:

Name/Ticker of Security:

Originating Broker Firm:

Number of Shares:

Approximate Price per Share:

Donor Name:

Donor Signature:

Donor Address:

Account Name: Seven Peaks School, DTC# 0141, Account #:3659-1925, Firm: Umpqua Investments

XEnclosed is my company matching gift form.                        Help us raise $200,000 by November 3rd.

Thank you!

Tax ID: 93-12003231


[1] Check is preferred to credit card because Seven Peaks School pays a $0.20 transaction fee on every $1 donated.