JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Annual Giving Campaign Pledge
Thank you for your pledge to our Annual Giving Campaign!
Even if you cannot start your payments now, you can still make your pledge and be counted.
We need 100% participation to make The Annual Giving Campaign Successful.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Donor's Name
*
Your answer
Student Names(s) and Grade
*
Your answer
Email
*
Your answer
Pledge Amount Per Student ~ Please consider what you can give per student.
*
$1,000
$800 (fills the gap in state funding)
$500
100
Other amount ~ please specify below
*Other amount
Your answer
Total Amount Pledged (For all Students)
*
Your answer
Select a Payment Plan~ How do you plan to fulfill your pledge
*
One-time payment to be paid now.
One-time payment to be paid in the future.
10 or 12 Month installment beginning in September
Other ~ please specify below
Other plan
Your answer
Payment Method~ What payment method would you like to use?
*
I will make a payment or choose a payment plan online at
www.ncsota.org/agc
(To complete this step you must visit the website)
I will set up auto bill through my bank
Cash (can be dropped off at the office)
Check (can be sent to 13032 Bitney Springs Rd, Nevada City CA 95959 or dropped off at the office)
Thank you for your support!
Please contact Carabeth Rowley with any questions
530-273-7736 x1020
Carabeth.Rowley@ncsota.org
Visit:
www.ncsota.org/AGC
to make payment or choose a payment plan.
*Filling out this form just lets us know what your intention is for your Annual Giving donation. It's up you to go to the website and make a payment or set up a plan.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Nevada City School of the Arts.
Report Abuse
Forms
