Washington DC, Maryland and Virginia

Sponsored by the Spiritual Assembly of the Bahs of Prince Georges County South, Maryland, Inc. Mr., Ms., Mr.&Mrs _________________________________ _________________________________________ First Name Last Name ____________________________ ______________________ _________ _____________ Street Address City State Zip Code (______)________________ Telephone _________________________________________________ e-mail

Capital Area Bah Center

_________________________________________________ Bah Community Considering a unit to be one dollar a day ($365 a year) then 500 Bahs and institutions contributing one unit each year will achieve the goal of developing the property and paying off the loans that made the purchase possible. Many individuals and institutions will want to take on two or more units. I want to help develop the Capital Area Bah Center Property and pay off the loans that made the purchase possible Please mark one method of payment: AUTO PAY Automatic withdrawal from your checking account (preferred method) Please send a voided check along with this form to the address below.

I agree to let the Spiritual Assembly of the Baha'is of Prince George's County, Maryland, South, Inc. withdraw the amount of $ __________ monthly through it's acount called "Capital Area Baha'i Center." I understand that I must notify the Assembly in writing if I wish to end this automatic withdrawal. ____________________________________________ Signature (same as written above) ________________ Date

CHECK I pledge $ __________ per Gregorian calendar month for the next _____ years. Enclosed is my first pledged contribution (not required for AUTO PAY method).

Please make checks payable to: CAPITAL AREA BAH CENTER

Mail this form and checks to: CAPITAL AREA BAH CENTER P.O. Box 441906 Fort Washington, MD 20749
Updated 10/08

Pledge Form