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Please print out this form and mail
it to the address below Name __________________________________________________________ Address__________________________________________________________ Phone _______________________________________ ___ My employer will also match my gift and my matching gift form is enclosed. Enclosed is my one-time
tax deductible gift of: _________________________ I make a pledge of ______________ and will be fulfilling it according to the following schedule: Date: ______________________________
Amount: ________________________ I would like to receive
pledge payment reminders: ___ Yes
___No
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