Capital Campaign - Donor Pledge Agreement

*In support of the Capital Campaign for The Junior League of Austin, I (we) pledge a Gift of $

*Membership Status:
Provisional Active Sustainer Non-Member

via the following:

Method of Payment

Check

Make checks payable to: Junior League of Austin - Capital Campaign

Stock or Other

Other notes

A Stock Transfer Form will be provided with details for how to make a stock gift

Credit card or ACH in unequal installments as described above

All donors please complete the following information:

Donor Information

*First Name:

*Last name

*Street Address

Street Address (2)

*City

*State

*Zip code

*Phone number

Alternate Phone Number

*Email (Receipts will be sent to this email address)

Recognition

I (we) desire that our pledge be treated as an anonymous commitment; or

Please list my (our) name as specified below in all appropriate donor recognition:

Please type below exactly as you would like your gift to be recognized.

Corporate Match (if applicable, please click for more information)

Will you participate in a corporate match program as part of your gift?

If so, please indicate the following

Company Name:

Amount to be matched $

Will you use other types of corporate contributions as part of your gift?

If so, please indicate the name of the company that will be contributing towards your gift:

Tribute and Memorial Gifts (if applicable, please click for more information)

Would you like to make your gift in honor of or in memory of someone?
Yes No

If yes, please enter in honor of name here

OR please enter in memory of name here

May we notify the honoree or a family contact of your generous gift (excluding amount)?
Yes No

If yes, please notify the following person(s):

Name

Address

City

State

Zip code

Home/Cell Phone Number

Office Phone Number

Email Address

Fax

Go Back