Gift and Pledge Intention

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Your financial contribution is enormously important in the lives of those we serve. Driven by our mission to serve the world by serving children, our board members and staff, thank you deeply for your generosity!

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Name (first, last) *

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Gift Information *

I (We) intend to give a total of $__________ to "The World We Imagine Campaign."

This gift will be completed as follows: *

Single Payment
Multiple Payments

I will complete the pledge over __ year(s): *

1 Year
2 Years
3 Years

Pledge Dates

Pledge Starting Date *

Please specify date, month, and correct year.

Pledge Ending Date *

Please specify date, month, and correct year.

Payment Information: *

My check is enclosed payable to: The Playing Field - The World We Imagine Campaign
Gift of Stock (Please contact Abbi Kruse @ 608.286.1061 for transfer details)
Matching Gifts - my gift will be matched by:
Corporate Matching Gift Form(s) enclosed (for instructions on how to make a corporate matching gift, please contact your company's Human Resources department or Matching Gift Officer.
Charge my Credit Card

Corporate Matching Gift form(s): *

Click or drag files to this area to upload. You can upload up to 5 files.

Matching Gifts

My gift will be matched by: *

My employer
My spouse's employer

Employer Name: *

Credit Card Payment

My credit card is a: *

Visa
MasterCard
Discover

Name on Card: *

First

Last

Card Number: *

Expiration Date: *

3-Digit CSC: *

Gift Recognition: *

Please publicly recognize this gift from:
Please DO NOT recognize this gift publicly. I/We wish for the gift to be ANONYMOUS.
This gift is in honor of / in memory of:

Gift Recognition Name:

Signature: *

Date *

3910 Mineral Point Road Madison, WI 53705

(608) 286-1061

info@PlayingFieldMadison.org

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Accredited by the City of Madison | Rated Five Stars by Wisconsin’s Quality Rating System, Young Star | EQUAL OPPORTUNITY/AFFIRMATIVE ACTION PLAN EMPLOYER