Sample Pledge Card

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900 Liberty Avenue

Pittsburgh, PA 15222
412-258-2700

2012 Annual Fund Pledge Card


Print name as you would like it to appear on our donor list

Name __________________________________________
Address:________________________________________
City/State/Zip: __________________________________
Phone: _________________________________________
Email address:__________________________________
Please send me more information about:
Memberships
Planned Giving
Sponsorships
To increase your gift, please include your employers
matching gift form, available from your HR Office.

DREAM $1,000+
ENVISION $200-$750
IMAGINE $50-$175
I/We Pledge: $_________._______
Check (Made payable to August Wilson
Center for African American Art)
Visa

MasterCard

Amx

Discover

CC#________________________Exp:___________
Signature__________________________________
Make a secure donation online at
www.augustwilsoncenter.org

Disclaimer of tax deducibility. August Wilson Center for African American Culture is a registered 501(c)3 non-profit organization.

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