Give Miami Pledge Form
We still need your support to reach our goal! Please consider a pledge to donate online on 11.15.18.
I would like to pledge to Urgent Inc. to donate on Give Miami Day November 15th 2018! *
NAME: (First Last) *
Your answer
EMAIL: *
Your answer
CELL: *
Your answer
THANK YOU VERY MUCH FOR YOUR SUPPORT!
URGENT, Inc. is a 501 (c)(3) Non-Profit Organization charitable organization registered under
s.496.411(3), F.S. A copy of the official registration may be obtained from the division of
consumer affairs by calling 1-800-435-7352 Toll-Free within the state. Registration does not
imply endorsement, approval, or recommendation by the state. URGENT's registration number
in Florida is CH-14866 and Tax ID# 65-0516506. All contributions are tax deductible.
Submit
Never submit passwords through Google Forms.
This form was created inside of Urgentinc.org. Report Abuse - Terms of Service - Additional Terms