Annville Free Library · AFL Capital Campaign Pledge Form

Please be aware that this form is for makimg a pledge only. To make an actual monetary donation please use the donation form. Thank you!

Contact Information For My Pledge

Name

*

First Name

Last Name

How would you like your name(s) listed?

*

Email

Verify Email

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Phone

*

Organization / Employer (Optional)

I/We would like to make a pledge of:

*

Payable over

*

1 yr.

2 yrs.

3 yrs.

Please invoice me annually

Pledge Start Date

*

(mm/dd/yyyy)

For Donor Recognition, I/We understand My/Our name will be listed as written.

I/We wish to remain anonymous.

My/Our gift is in Honor/Memory of: