PLEDGE FORM As you would like it to appear in any campaign recognition materials. I/We would like to remain anonymous. SUGGESTED GIFT PLANS 3-Year Pledge Annually Semiannually Quarterly Monthly $36,000 $12,000 $6,000 $3,000 $1,000 $24,000 $8,000 $4,000 $2,000 $667 $18,000 $6,000 $3,000 $1,500 $500 $10,800 $3,600 $1,800 $900 $300 $7,200 $2,400 $1,200 $600 $200 $3,600 $1,200 $600 $300 $100 $1,800 $600 $300 $150 $50 CAMPAIGN PLEDGE Amount of Pledge: Payable over (yrs): 12345 Initial Payment: Please consider giving 10–20% initially. Pledge Balance: TIMING OF GIFT I/We intend to pay the balance: MonthlyQuarterlySemiannuallyAnnually Date of first payment: METHOD OF PAYMENT Cash/check (make payable to Sinsinawa Dominicans)Credit card*Automatic withdrawal*Securities*Other**The Office of Philanthropy will contact you for additional information. My gift will be matched by: