Annual Giving Campaign Pledge

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Thank you for your pledge to our Annual Giving Campaign!

Even if you cannot start your payments now, you can still make your pledge and be counted.

Use your My School Bucks account to make a payment or set up a plan.

We need 100% participation to make The Annual Giving Campaign Successful.

Donor's Name *

Student Names(s) and Grade *

Email *

Pledge Amount Per Student ~ Please consider what you can give per student. *

$1,000

$800 (fills the gap in state funding)

$500

100

Other amount ~ please specify below

*Other amount

Total Amount Pledged (For all Students) *

Select a Payment Plan~ How do you plan to fulfill your pledge *

I will make a payment or start a payment plan now!

I will make a payment or start a payment plan in the future

Other ~ please specify below

Other plan

Payment Method~ What payment method would you like to use? *

I will make a payment online at www.ncsota.org/agc (To complete this step you must visit the website)

I will set up auto bill through my bank

Cash (can be dropped off at the office)

Check (can be sent to 13032 Bitney Springs Rd, Nevada City CA 95959 or dropped off at the office)

Thank you for your support!

Please contact Carabeth Rowley with any questions

530-273-7736 x1020

Carabeth.Rowley@ncsota.org

Visit: www.ncsota.org/AGC to make payment or choose " Make this Automatic" at check out to make it a payment plan.

*Filling out this form just lets us know what your intention is for your Annual Giving donation. It's up you to go to the website and make a payment or set up a plan.

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