Learn Today Lead Tomorrow, Inc.

A Project of  Holy Trinity Lutheran Church

Pledge Form

Donor Information (please print or type)

Name

 

Billing address

 

City

 

State

 

ZIP Code

 

Telephone (home)

 

Telephone (business)

 

Fax

 

E-Mail

 

 

Pledge Information

I (we) pledge a total of $______________ to be paid:

 ____now   ____monthly   ____quarterly   ____yearly.

I (we) plan to make this contribution in the form of:
cash check credit card other.

Credit card type

 

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Expiration date

 

Authorized signature

 

 

Acknowledgement Information

Please use the following name(s) in all acknowledgements:

 

_____ I (we) wish to have our gift remain anonymous.

Signature(s)

Date

 

Learn Today Lead Tomorrow, Inc is a non-profit organization exempt from federal tax under section 501(c)(3) of the Internal Revenue Code.

Please make checks, corporate matches, or other gifts payable to:

Learn Today Lead Tomorrow, Inc.

 

Mailing Address:

 

L.T.L.T After School

405 W. Main Street

Wytheville, VA   24382

 

 

Contact Us:

Phone:  276-228-9515   Email:  kim@learntodayleadtomorrow.org