Pledge Form
Name _________________________________
Phone _______________________
Address ________________________________ City ________________ State____ Zip_________
Email ______________________________
Gift Information:
I (We) Intend to contribute $ _____________ to “A Place for Hope, a Forever Home”, The Capital Campaign for East Los Angeles
Women’s Center (ELAWC)
The gift will be paid as follows:
❑ Single Payment
❑ Multiple Payments – I will pay the pledge over (circle one) one | two | three | five years as follows:
__ Monthly ___Quarterly ___Semi-Annually __ Annually
❑ Payment beginning: ______________________ (month/year)
❑ Gift will be matched by (company/family/ foundation) _______________________________________
Payment Information
My Check is enclosed payable to: East Los Angeles Women’s Center
Contact me for:
❑ ACH Banking Information
❑ I wish to donate stock/ appreciated assets
Gift Recognition
❑ Please publicly recognize this gift from: ______________________________________________
❑ I am interested in the following Recognition Opportunity: _______________________________
❑ This gift is in honor/ in memory of: _________________________________________________
❑ Please do not recognize this gift publicly. I (We) wish to remain ANONYMOUS.
Signature(s) _______________________________________ Date: _______________
_______________________________________ Date: _______________
Thank You for investing in the future of our community!
ELAWC is a 501(c)(3) non-profit organization – Tax ID 51-0204577. Gifts are tax deductible as allowed by law.