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ANCA Pledge Form
Your pledge, made before June 30, will help us meet our fiscal year goal!
Address Line 1
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I would like to:
Make a pledge now and pay in full at a later date.
Make a pledge now to be payed in quarterly installments starting at a later date.
Make a pledge now to be payed in monthly installments starting at a later date.
Make a pledge now and pay with securities. (please call Jen at 435-787-8209)
Enter date you wish to pay in full or start your payments on
NOTE: ANCA staff will send reminders prior to pledge payment date(s).
Annual Fund, Operational Support
Memorial Scholarship Fund
ANCA Operational Reserve Fund
Check payable to ANCA
Enter your card info and we will automatically run the pledge payment for you.
Credit Card Number
3-digit for Visa and Mastercard, 4 digits for American Express
Name on Card
Billing Zip Code
Mail Checks to: ANCA, PO Box 464 Logan, UT 84323
Is your donation:
In memory of someone?
In honor of someone?
None of the above?
My gift is in memory of:
My gift is in honor of:
Please send acknowledgment to:
My gift is eligible for a matching gift. Please contact me.
Questions? Call us at 435-787-8209