Pledge Form
President's Council Pledge Form

President's Council in Support of Excellence
STATEMENT OF INTENT

I/We _____________________________, do hereby make this statement of intent to join the President’s Council through this pledge to the Annual Fund for Roanoke Catholic School. We pledge to contribute $______ each year for the next ___ years for a total pledge of $__________ beginning ______/______, according to the following payment schedule:

CHECK ONE: ____ Quarterly ____ semiannually ____ annually (Reminders will be sent when installments are due.)


Special Instructions: ____________________________

My/My spouse’s company is a matching gift organization:

Company Name

I/We understand that this pledge may be adjusted, should circumstances demand.

Statements of intent are not legally binding

Printed Name: __________________________________

Signature: _____________________________________

Address

City/State/Zip

E-mail address

Day Phone

Evening Phone

Date


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