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Capital Campaign Payment Pledge Form
Contact Information
Name
*
Prefix
First Name
Last Name
Suffix
Spouse
Prefix
First Name
Last Name
Suffix
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Cell Phone
for individual listed above in "name"
Email
*
email for individual listed in "name" above
Verify Email
*
Is this a new pledge or payment for a previous pledge?
New Pledge/Payment
Payment for Existing Open Pledge
Donation Level
Count on me as a supporter of Ma'ayanot's Capital Campaign! I would like to donate at the level indicated below. I understand that the total amount of my gift can be paid over a multi-year period.
Founder - $250,000+
Creator - $150,000 - $249,000
Dreamer - $100,000-$149,000
Innovator - $72,000 - $99,000
Designer - $50,000 - $71,000
Architect - $36,000-$49,000
Builder - $18,000 - $35,000
Patron - $10,000 - $17,000
Donor - $5400 - $9,900
Supporter-$1,800 - $5,300
Other
Amount to Pay Today
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Continue donating until
(mm/dd/yyyy)
Notes
Add 3% to my total amount to help cover the payment processing fees
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