JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Hitting the Mark Pledge Form
A Capital Campaign for Virginia Academy
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What is your relationship with Virginia Academy
*
Current Parent
Community Church Member
VAA Friend
Alumni
Local Business
Other:
Your Name (as you would like it to appear on our donor list):
*
Your answer
Pledge Total (to be paid over 3 year campaign):
Your answer
Balance to be paid:
Monthly
Quarterly
Semiannually
Annually
One-time gift
Other:
Clear selection
Installment amount:
Your answer
Pledge payment start date:
Your answer
How would you like to make your pledge payments?
Check
Credit/Debit Card through VAA Website
Add installments to my FACTS Account (For current families ONLY)
Other:
Clear selection
I would like to receive pledge reminders by
Email
Mail
Other:
Clear selection
Electronic Signature
*
I confirm my contribution to Hitting the Mark: A Capital Campaign for Virginia Academy.
Please mark me as declined.
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Virginia Academy.
Report Abuse
Forms
