One moment please...

Sally Borden Fund Pledge Form

The KidSafe Collaborative Sally Borden Fund

I pledge to support the Sally Borden KidSafe Fund in the chosen amount. I understand that this pledge agreement is a legally binding agreement, and that my estate is responsible for the remainder of the pledge upon my death.

I understand that all gifts will be received and managed in accordance with KidSafe Collaborative's Acceptance of Gifts and Recognition of Donors Policy.

Please complete this form if you wish to make a donation by check or cash. You may choose to make a one-time donation, or choose a recurring donation to becmone a sustaining donor.

Contact Information

Name *

First Name

Last Name

Email *

Verify Email *

Phone

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Employer Matching

If your employer is matching your donation, please fill out the company name and any contact information.

Donor Recognition

(Please note that it benefits the KidSafe Sally Borden Fund to include donors' names in print and online recognitions.)

I would like my gift to remain anonymous

Pledge Information

Pledge payments will be evenly distributed across the specified dates unless otherwise discussed.

Pledge Amount *

Pledge Begin

(mm/dd/yyyy)

Notes

Electronic Signature

By checking this box, I understand that my pledge is a legally binding agreement.