Roosevelt For Generations Pledge Form
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电子邮件地址 *
I/We pledge to donate the following amount to support the Roosevelt For Generations Capital Campaign: *
I/We wish the donation to be paid: *
If you chose quarterly, semi-annually or annually please specify between how many years you would like the donation to be spread among. (MAX of 3 years)
Please state the start date of your donation.
年
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月
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日
I/We wish to use the following payment method: *
Please provide credit card information below if it is your preferred method of payment. (Card Number, Exp. Date and 3-digit code)
For recognition purposes, please list your name(s). If you wish to remain anonymous, please write ANONYMOUS below.
If you are a Roosevelt Alumni, please provide your graduation year.
If your gift is made "In Honor or In Memory Of" please provide a name and address so TRHS Foundation staff can notify the correct person(s).
Your Name *
Address (include Street, City, State & Zip) *
Email Address *
Today's Date *
年
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月
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日
By selecting AGREE this is considered a signature of your pledge to fulfill this donation to the Roosevelt For Generations Capital Campaign. *
您回复的副本将通过电子邮件发送到您提供的地址。
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