Olympia Community School
Gift Pledge Form

This pledge is for

I/We pledge a total of $.00 (please enter the entire donation amount).

Pledge will be paid as follows:

Periodic Pledge Amount $.00  (If you are making a one time donation, please enter the entire amount you entered above).

I/We wish to make my payment  Once    Monthly    Quarterly
     Payments must be complete by June 30

I/We will make my first payment on (mm/dd/yy)

I/We will make my last payment on (mm/dd/yy)

Will you require an invoice for all payments?

I/We will send my payment when it is due.
I/We wish to be invoiced for all payments.

We reply to all gifts with a receipt and our heartfelt thanks.

For OCS publications, please list this gift as coming from
    

Please fill out the following information (all fields are required).

Name:
Address:
City:
State:
ZIP+4:
Phone:
Email:

Click "OK" below. The next page is a confirmation of your pledge. Please print out the confirmation. You may close the confirmation window, after you have printed it.