SERVE Campaign Gift & Pledge Form
First Name *
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Last Name *
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Address *
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City *
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State *
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Zip Code *
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Phone Number *
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E-Mail address *
Your answer
I (We) intend to contribute $_____________to the SERVE campaign *
Your answer
This gift will be paid as follows: *
If this is a multiple year pledge, it will be paid as follows:
2017 Pledge
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2018 Pledge
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2019 Pledge
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Please send me (us) a payment reminder each year of our pledge. *
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Gift Recognition
Please publicly acknowledge this gift according to your Donor Recognition plan. *
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If yes, Name as you would like it to appear:
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Please Do Not recognize this gift publicly. I (We) wish for the gift to be anonymous. *
This gift is in honor of:
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This gift is in memory of:
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I acknowledge that the information contained in this document is true, and this is will serve as my electronic signature. *
For additional Information, please contact us at: SERVEocon@gmail.com
SERVE has applied for status as a 501(c)3 non-profit organization. Gifts will be tax deductible as allowed by law. Check will be collected at a later date.
Thank you for supporting the SERVE campaign!
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