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To acknowledge the abilites of all children and for the betterment of our community, I/we pledge the following commitment to the

 Kids Are Special Here Playground  campaign:

 

 

 

Total Amount of Gift:

$

Initial Payment:

$

Balance Due:

$

 

 

 

 

With the remainder to be paid as indicated:

  • Quarterly
  • Semi-Annually (June and December)
  • Annually (June)

 

 

First Payment Beginning:  Month:                                      Year:                                    

 

This pledge will be competed in                        One year                 Two years             Three  years

 

I/We wish to fulfill the remainder of this commitment via:

  • Securities (Company Name)                                                                                                              

(A separate form will be provided for information necessary to your gift)

 

Please complete the following information:

 

 

Signature:

 

 

Date:

 

 

Organization:

 

 

Address/City/Zip

 

 

 

 

  • My gift may be recognized
  • My gift is strictly confidential and should not be published.
  • Memorial of Honorary Gift Requested:                                                                                                          

 

Make Checks payable to: Kids Are Special Here Playground – PCHHS Employee’s Foundation

 

Mail or Deliver to:  Pineries Bank *3601 Main Street * Stevens Point WI 54481

 

Gifts of any size  are greatly appreciated.