NC AWWA-WEA Safe Water Endowment Donor Program NC AWWA-WEA * 3725 National Drive, Suite 217 * Raleigh, NC 27612 919-784-9030 x 240 * www.ncsafewater.org NC AWWA-WEA Safe Water General Endowment Crowder Construction Company Scholarship Frank and Susan Stephenson Scholarship Fund Lars Balck Fund Raftelis Financial Consultants Scholarship Carol Bond Fund Environmental Manufacturer’s Representative Scholarship GHD Clean Water Fund Les and Elaine Hall Water Environment Stewardship Fund Raftelis Foundation Elementary Education Scholarship Rivers & Associates Fund I am interested in establishing a named fund ($25,000 minimum) Payment Methods I would like to make a donation by check or credit card: Amount Enclosed is $___________________ Check number: Credit Card # _______________________________Security Code # _______Exp. Date: Month &Year:_______ I would like the amount of my donation to be undisclosed I would like my name to be kept anonymous My Company has a matching funds program (Name): I would like to make a stock transfer Amount is approximately $___________ I would like to meet with the Endowment’s Foundation Partner to discuss other gifts. I would like to set up a pledge of $____________ over a _____ year period. __________Annually The first payment of $___________________is enclosed. Please make your check payable to “NC AWWA-WEA” Also, if you have selected a particular fund, please write the name of the fund on the memo line of the check. If paying by credit card, please be sure that name and address list below are the same as those for the credit card Date: Printed Name: Signature: Address: Phone: E-Mail: Return to: NC AWWA-WEA, 3725 National Drive, Suite 217, Raleigh, NC 27612 Questions: Marianne Keser, 919-784-9030 x 240, mkeser@ncsafewater.org NC AWWA-WEA Safe Water Endowment Donor Program NC AWWA-WEA * 3725 National Drive, Suite 217 * Raleigh, NC 27612 919-784-9030 x 240 * www.ncsafewater.org Individual Pledge Amounts and Durations Pledge Amount Paid off by Less than $500 Immediately $501 - $1,000 1 year (by year end) $1,001 to $2,000 2 years (one annual payment each year for 2 years) $2,001 to $3,000 3 years (one annual payment each year for 3 years) $3,001 to $4,000 4 years (one annual payment each year for 4 years) Over $4,000 5 years (one annual payment each year for 5 years) Pledge Amount Levels of Corporate Giving Category $ 5,000 - $9,999 Swift Streams $10,000 - $14,999 Roaring Rivers $15,000 - $24,999 Great Lakes Mighty Oceans NOTE: At this level, you may also name your own fund $ 25,000 and above Note: After initial payment, remaining balance for all pledges will be invoiced annually in equal amounts, but remaining balance may be paid by the donor in full at any time. Should the Board approve a named fund for which pledge payments are offered over a period of time to achieve the $25,000 minimum, the Donor shall acknowledge that, should donations fail to reach the minimum of $25,000 within the prescribed time, the Board shall have the right to eliminate the named fund, and transfer any funds contributed either to the NC Safewater Fund, or to any other of NC AWWA-WEA’s named funds, at the Donors discretion. Return to: NC AWWA-WEA, 3725 National Drive, Suite 217, Raleigh, NC 27612 Questions: Marianne Keser, 919-784-9030 x 240, mkeser@ncsafewater.org