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Bikes Create Community Pledge Form
Yes! I am/We are pleased to make a pledge to the Bikes Create Community campaign for the Bike Library for the amount of:
*
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
Contact Information
Name
*
First Name
Last Name
Email
Verify Email
Phone
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Time Period
*
Over how many years would your like to stretch your gift?
One-time
2 years
3 years
4 years
5 years
What is your preferred payment schedule?
*
One-time
Monthly
Quarterly
Annually
First Installment
*
(mm/dd/yyyy)
Payment method
*
Reoccurring credit card
ACH bank transfer
Send me a pledge reminder
Donate stock
Preferred method to receive pledge reminders
*
Snail mail
Email
This gift is eligible for a matching gift from my employer.
Yes
No
Employer name
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
Do you have anything you'd like us to follow-up with you about?
Date
(mm/dd/yyyy)
