Bike Library · Bikes Create Community Pledge Form

Fill out a Pledge Form *

If you have already filled out a pledge form you can scan it/take a photo of it, and upload it here. Or you can fill out this form instead.

Upload your Pledge Form

Fill out this form

Pledge Form File Upload

Installment Information

Pledges are large donations to be paid over a long time period. Below, first indicate the total amount that you would like to pledge to the Bike Library's Capital Campaign. Then, decide over how many years you would like to make payments. Lastly, indicate the frequency of payments.

I am/We are pleased to make a pledge to the Bikes Create Community campaign for the Bike Library for the amount of: *

First Installment *

When would you like to begin payments?

How often would you like to make installments? *

Monthly and quarterly payments reoccur based on the date (i.e., the 10th, 15th, etc.) of the original donation. If after the 28th, subsequent payments occur on the 28th. Annual installments will be charged on the original donation date next year.

One-time

Monthly

Quarterly (every 3 months)

Annually

Over how many years?

Installment Amount

Please calculate your installments by multiplying YEARS x FREQUENCY = NUMBER OF INSTALLMENTS. Then divide your TOTAL PLEDGE AMOUNT by the NUMBER OF INSTALLATIONS.

Payment method *

Reoccurring credit card

ACH bank transfer

Send me a pledge reminder

Donate stock

Preferred method to receive pledge reminders *

Snail mail

Email

Acknowledgement

Acknowledge my gift as:

Write your name how you want it listed in acknowledgments. You can also write in: "In honor" or "In memory" of.

I/we wish to be anonymous

Yes

This gift is eligible for a matching gift from my employer.

Yes

No

Employer name

Do you have anything you'd like us to follow-up with you about?

Contact Information

Name *

First Name

Last Name

Email

Verify Email

Phone *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Date

(mm/dd/yyyy)