President's Circle pledge form - Crittenton Services of Greater Washington

Gold Level—$5,000 a year for two years

Silver Level—$2,500 a year for two years

Bronze Level—$1,000 a year for two years

Yes! I want to support teen girls in our community. I /we will support Crittenton Services of Greater Washington's President's Circle Campaign at the following level:

I/we intend to contribute a total of $10,000 over 2 years, following the payment schedule below:

Year 1: $5,000 (by Dec. 31st), Year 2: $5,000 (by Dec. 31st)
Year 1: $10,000

I/we intend to contribute a total of $5,000 over 2 years, following the payment schedule below:

Year 1: $2,500 (by Dec. 31st), Year 2: $2,500 (by Dec. 31st)
Year 1: $5,000

I/we intend to contribute a total of $1,000 over 2 years, following the payment schedule below:

Year 1: $1000 (by Dec. 31st), Year 2: $1000 (by Dec. 31st)
Year 1: $1,000

Name(s) (please indicate how you would like your name listed in public materials)

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email

Phone

Signature

Clear Signature

Checkbox Items

I will send a check for $_______ , made payable to Crittenton Services of Greater Washington. (815 Silver Spring Avenue, Silver Spring, MD 20910)
I will make monthly payments of $
I/we have visited www.crittentonservices.org to make a payment of $

Check Amount

Monthly Payment Amount

Crittenton Services of Greater Washington is a 501(c)(3) non-profit organization.

Our tax identification number is 53-0196511.

President’s Circle pledge form

Gold Level—$5,000 a year for two years

Silver Level—$2,500 a year for two years

Bronze Level—$1,000 a year for two years

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