The Campaign for the West Chester Area Senior Center

Pledge Card

Donor Information:

Name__________________________________________

Email__________________________________________

Street Address___________________________________

City/State/Zip____________________________________

Telephone ______________________________________

 

I/We want to pledge to The Campaign for the WCASC the total sum of

$__________________

Payment Method:  Gift in Full
Enclosed please find a check in the amount of $ _____________
(Please make checks payable to The West Chester Area Senior Center

Please charge the amount of $____________ to my:

• VISA                Credit card number________________________
  
  
• Mastercard         Expiration Date___________________________

Authorizing signature_________________________________

Payment Method: Pledge

My pledge of  $ ___________ will be paid over _____ years

First pledge payment to be made ________________
                                                       (month and year)
Remainder to be paid:

• Annually
• Semi-annually
• Quarterly