Mobile Advocacy Campaign Pledge Form

Kind of gift: (please check)

Personal GiftCorporate Gift

Company/Organization (if appropriate)*

Name(s)*

Email Address

Street Address

Apartment, suite, etc

City

State

ZIP / Postal Code

Telephone

Total Amount of Gift

USD

Payable:

1 Year2 Years3 Years4 Years5 Years

Payment Schedule:

MonthlyQuarterlySemi-AnnuallyAnnually

Credit Card Number:

Exp Date:

CSV#:

Recognition

For donor recognition, I understand my name/company will be listed as I have written above.*I wish to remain anonymous.My gift is in honor/memory of:

Name

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Please do not fill in this field.

Please make checks payable to: Open Arms

Questions about your pledge?
Contact: Ashley Ritz
419-420-9261 or openarmsfindlay@yahoo.com

Open Arms is a 501(c)(3) tax-exempt organization
Open Arms EIN: 34-1308480
P.O. Box 496 Findlay, OH 45839

Thank you for your support!