Yellow Farmhouse Education Center

Yellow Farmhouse Education Center Pledge Form

Thank you for your generous pledge in support of the Yellow Farmhouse Education Center General Operating Fund. A pledge is a promised donation - can be a one time payment or in installments over time. This form will capture all of the information needed for your pledge.

Pledge Details

Total Pledge Amount

*

Payment Information

*

Please select an option below.

I am fulfilling the entire pledge now

Please send me an invoice.

I would like to be billed in installments

Payment Method

*

Online Payment (Credit Card or Paypal)

Check

Wire Transfer

Pay at Later Date

To pay online, please visit our online payment form: Online Donation Form (opens in new window)

Make check out to:

Yellow Farmhouse Education Center, Inc.

PO BOX 202, Stonington CT 06378

EIN#: 82-3732013

For Wire Transfers:

Upon receipt of your pledge form, we will contact you with the needed wire transfer account information.

Total Pledge to be fully paid on or before:

*

(mm/dd/yyyy)

Installment Amount

Installment Frequency

Installment Payment Start Date

(mm/dd/yyyy)

Installment Details

If you would like to set an different installment schedule, please provide the requested payment amounts and intervals. Example: A pledge for $10,000 may have an initial payment of $5000 and then $1000 semiannually thereafter.

How would you prefer to receive your acknowledgment letter?

*

Anonymous Gift?

If you would like your name withheld, please select "yes" to give anonymously.

Yes

No

If the Yellow Farmhouse has your permission to publicly acknowledge this contribution, how you would like your name(s) printed?

Examples: Mr. John Doe; John Doe; John & Jane Doe; Mr. & Mrs. John Doe; Mrs. Jane Doe and Mrs. Sally Doe

Donor Information

Name

*

Prefix

First Name

Last Name

Suffix

Include your spouse/partner as donor?

Yes

No

Spouse/Partner Name

Prefix

First Name

Last Name

Suffix

Email

Verify Email

Spouse/Partner Email, if different

Verify Email

Address Type

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Home Phone

Mobile Phone

By typing "I agree" in the box below, you agree to submit all pledge payments to Yellow Farmhouse Education Center as indicated in this form.

*

Please type "I agree" in the box to indicate your agreement and participation in this pledge contract.