Jennings Country Pledge Form printable pdf download

Jennings Country Pledge Form

Gather, Learn, Know, Grow

Pledge Form

I/We are pleased to make a gift of $_______ payable over ___ years

in support of

(maximum of 3 years)

the Jennings County Public Library’s Gather, Learn, Know, Grow Capital Campaign.

Pledge Information

□ I will fulfill this pledge with a one-time payment on _______________(date).

□ I will fulfill this pledge through □ annual □semi-annual □quarterly □monthly payments of $______

beginning on (date)_____________.

□ Other (please specify)________________________________________________.

Method of Payment (please complete on following page)

Please recognize my gift as follows:

_________________________________________ □ I wish to remain anonymous.

Name______________________________________________________________

Address________________________________City, State Zip_________________

Telephone______________________________Email________________________

Signature_______________________________Date________________________

Thank you for your generous commitment!

Please continue to next page and complete payment information.

Jennings County Public Library

2375 N State Hwy 3

North Vernon, IN 47265

Jennings Country Pledge Form