Make your pledge today.
Please fill out this form to make your pledge. We will then set this up in our system to be paid in the way that you mark on this form. Thank you for your support!
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Email address
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Your email
First and Last Name
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Your answer
Mailing Address
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Your answer
Phone
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Your answer
My Total Pledge Amount $
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Your answer
Check how often you would like to pay this pledge amount. (your total amount is broken down into increments based on your selection; for example, if your total pledge is $120 and you select monthly, your payments will be $10 a month for 12 months unless otherwise specified)
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One Time
Monthly
Quarterly
Other:
How would you like to pay your pledge?
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Please bill me
Bank draft on file (I am a member with membership dues drafted so you already have my information)
Credit Card (we will give you a call) OR you can pay your donation online:
https://give.classy.org/HealingCommunity
Other:
Did a volunteer or staff member encourage you to make this donation? Please type their name here if applicable. If not, please type n/a.
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Your answer
Please type your name as you would like to be recognized on our donor board.
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Your answer
A copy of your responses will be emailed to the address you provided.
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