Murray Grove Association · Murray Grove Multi-Year Pledge Form

I commit the following pledge to be paid as follows:

Amount Per Year *

$

Number of Years *

Starting Date *

First payment to be made on this date.

Installment Schedule *

Monthly - 12 Payments

Quarterly - 4 Payments

Annually - 1 Payment

Contact Information

By providing this information, I acknowledge that it will be used in place of a signature on a pledge form.

Name

First Name

Last Name

Email

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Designation

In honor of/In memory of: (Please designate IHO or IMO and Name(s)

Acknowledgement

Yes, I give Murray Grove the permission to acknowledge my gift (without amount) and include my name on the following:

Website

Annual Report

Newsletter

Name as you would like to have it listed on public acknowledgements

Note:

_{INFORMATION FILED WITH THE ATTORNEY GENERAL CONCERNING THIS CHARITABLE SOLICITATION AND THE PERCENTAGE OF CONTRIBUTIONS RECEIVED BY THE CHARITY DURING THE LAST REPORTING PERIOD THAT WERE DEDICATED TO THE CHARITABLE PURPOSE MAY BE OBTAINED FROM THE ATTORNEY GENERAL OF THE STATE OF NEW JERSEY BY CALLING (973) 504-6215 AND IS AVAILABLE ON THE INTERNET AT http://www.state.nj.us/lps/ca/charfrm.htm.REGISTRATION WITH THE ATTORNEY GENERAL DOES NOT IMPLY ENDORSEMENT.}

Murray Grove Multi-Year Pledge Form

Contact Information

Creating a World of Greater Kindness and Justice - Renewed in Peace