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Annual Fund Pledge Form 2019-2020
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* Indicates required question
Your Full Name
*
Your answer
Your child's or children's full names
*
Your answer
Total Pledge Amount (Thank you!)
*
$25,000
$10,000
$6,000
$3,000
Other:
What is your preferred payment method?
*
Check
ACH
Stock
Credit Card (+ additional transaction fee of 3-5%)
Other:
Will your company match your donation? (We have received matches in the past from these companies: Apple, Benevity, Intuit, Google, Johnson and Johnson, LinkedIn, Microsoft, PayPal, Qualcomm, SalesForce, Yourcause)
*
Yes
No
If your company does match, please list the name of the company below. This helps us track matches to the correct donation.
Your answer
When do you plan to make your donation?
*
Before Nov. 30
After Nov. 30
Your donation is tax deductible!
Helios is a 501(c)3 non-profit institution and your gift is tax-deductible to the extent provided by law.
Please speak with your tax advisor regarding the tax consequences of your support. Helios’ Tax ID is: 26-0753386.
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