Newport Central Catholic High School · Looking Up Capital Campaign Pledge Form

Contact Information

Name

*

Prefix

First Name

Last Name

Suffix

Affiliation to NCCHS?

Alum

Current Parent

Past Parent

Faculty/Staff

Friend of NCCHS

Class Year

The year you graduated.

Spouse's Name

Prefix

First Name

Last Name

Suffix

Spouse's Class Year

The year your spouse graduated.

Spouse's Email

Verify Email

Email

*

Verify Email

*

Phone

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

My/Our total pledge is:

*

$50,000

$25,000

$10,000

$5,000

$2,500

$1000

$500

Other - please indicate below

Custom Pledge Amount

I/We plan to pay this pledge:

*

Annually

Semi-annually

Quarterly

Monthly

One Time

I/We wish to pay this pledge over:

*

If you would like another payment option, please specify this in the notes section below.

5 Years

3 Years

I will pay my/our full pledge in a single payment.

I acknowledge that my/our pledge will benefit the Looking Up Capital Campaign.

*

Yes

I acknowledge that this pledge form is NOT legally binding.

*

Yes

Note about my/our pledge: