Donation Pledge and Sign-up Form 2021
The pledges submitted here are not binding, but they do help us with our planning. Once you've submitted this form, you can edit your responses with the link in your email receipt (email subject: "Donation Pledge and Sign-up Form 2021").

Filling out this form will also subscribe you to the EA Giving Tuesday mailing list. You can unsubscribe at any time by following the link at the bottom of any email.

For any questions or comments, visit our website (www.eagivingtuesday.org) or please email contact@eagivingtuesday.org.
Sign in to Google to save your progress. Learn more
Email *
First name *
Last name *
Full name on Facebook *
Pledge your donation
If you'd like to donate to multiple nonprofits, please submit this form multiple times.
What nonprofit do you plan to donate to? *
Is the nonprofit you want to donate to not listed? E-mail us at contact@eagivingtuesday.org.
100% vs 10% match
This year, we have different instructions for the 100% match and the 10% match, so we are gathering distinct data from you about your intended participation in each match tier.
How much (in USD) do you plan to donate to this nonprofit with the intent of directing 100% matching funds?
If you don’t plan to participate in the 100% match, you can leave this blank.
How much (in USD) do you plan to donate to this nonprofit with the intent of directing 10% matching funds?
If you're only focusing on the 100% match and not the 10% match, you can leave this blank.
Optional: Do you want to make your pledge public?
If so, we'll share your full name, your pledge amount, and the recipient nonprofit. If not, we won't reveal any personally identifying information publicly.
Optional: Can we share your name and e-mail address with the nonprofit and/or their partners?
Optional: Do you want to receive text messages? If so, enter your phone number below. US phone numbers only.
You may receive 1-4 text messages consisting of: (a) reminders during daytime hours leading up to Giving Tuesday 2021 and (b) important updates as early as 7:30am EST / 4:30am PST on Giving Tuesday 2021. We will stop sending you text messages after Giving Tuesday 2021. You must also visit our website (www.eagivingtuesday.org) for updates -- text messages are not an alternative!
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of EA Giving Tuesday. Report Abuse