Capital Campaign Pledge Form

* Name

Last Name

* Email Address

Mailing Address

Mailing Address Line 2

City

Province

Postal Code

* Phone Number

Total pledge amount

Total

Please select one of the following statements:

If this is a new pledge and you would like to pay it over time, on the next screen select "Bill to my Account".
You will have an opportunity to decide how you would like to divide your donation to several payments.

* Tax receipt to be issued in the name of:

* I consent to being recognized publicly.

YesNo

* Name(s) being recognized:

We are still finalizing the details of the recognition opportunities for this campaign. We will be in contact to provide you with the guidelines and discuss particulars once available.

Sat, 15 August 2020
25 Av 5780

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