Bldg 178 Capital Campaign Pledge Form

Capital Campaign Pledge Form

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Donor Name(s):(Required)

Pledge Amount:

Name to be used for public recognition:

For gifts being donated in someone else's name, please feel free to include In Honor of or In Memory of.

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Please do not list my name as I/we wish to remain anonymous

Naming Opportunity (if already selected)

*If you have not yet selected a naming opportunity, you may do so at a later date.

Name(Required)

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Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Building 178 Performing Arts Center, Inc. 501(c)(3). Federal Tax ID: 85-1976211

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