Pledge Form
Please complete the following form to donate to the Rutherford County Schools' Education Foundation or to pay Annual Membership Dues. This form is for payroll deduction and checks only. If paying by credit card, please choose the second "Donate Now!" on the Donations and Dues page.
DONOR INFORMATION
Last Name
Your answer
First Name
Your answer
Middle Initial
Your answer
Email Address
This will be used to send eNewletters and RCSEF event information to members
Your answer
Address
Your answer
City
Your answer
State
Your answer
ZIP
Your answer
Phone
Your answer
PAYMENT INFORMATION
Select Option You are Pledging:
If making a recurring monthly, quarterly, or annual pledge, please indicate the number of payments you intend to make:
Your answer
I PLEDGE THE FOLLOWING AMOUNT:
(if pledging monthly, quarterly, or annual donations; please enter the MONTHLY amount here) (if pledging membership dues or a one time donation; enter the total amount here)
Your answer
If paying membership dues please select the school or schools you wish for your 20% to go to:
If paying membership dues please select the school or schools you wish for your 20% to go to:
If paying membership dues please select the school or schools you wish for your 20% to go to:
Select Payment Option
If paying by credit card, please click the second Donate Now! (right side) button on the previous page.
Required
DONATION INFORMATION (Not Required-See Description Below)
This information is not needed for Annual Membership Pledges. It is not required for donations, but is available if you wish to make your donations in honor or memory of a loved one.
In Honor Of
Name(s) of person above
Your answer
In Memory Of
Name(s) of person above
Your answer
Acknowledgement
Acknowledgement Name(s)
Your answer
Anonymous
Check box to keep all contributions anonymous
PLEASE RETURN PLEDGE PAYMENT TO:
Rutherford County Schools Education Foundation
Attn: Brad Teague
382 W Main St
Forest City, NC 28043

bteague@rcsedfoundation.org
(828) 288-2211

Submit
Never submit passwords through Google Forms.
This form was created inside of RCS Education Foundation. Report Abuse - Terms of Service - Additional Terms