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Rev. Leon H. Sullivan Community Impact Center Campaign Pledge Form
Contact Information
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Pledge Amount
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Please enter the amount of your pledge. All pledged amounts must be received by December 2024
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Please indicate the amount of each installment you intend to make
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(mm/dd/yyyy)

* If your contribution is a Gift of Securities, please contact Rev. Michael A. Major, Sr. for instructions at mike.major@calledtoservecdc.org

Recognition
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Please share the name of the person or people you are honoring
Signature

Thank you for your pledge form. You will receive a PDF of this form requesting your electronic signature. Please sign and return as soon as you can.