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Pledge Form
Contact Information
Name
First Name
Last Name
Email
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Pledge details
Amount of your pledge
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This is the total amount of your pledge.
$1000
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$250
$100
Custom
Custom pledge amount
enter the full number, with no commas and no cents (ie. 180).
Frequency of payments
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How often would you like to pay installments?
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One Time
Monthly
Quarterly
Yearly
When would you like to make your first payment?
*
(mm/dd/yyyy)
Number