CRC Donor Pledge Form - Community Resource Center

Donation Pledge Form
Please print and complete this donation form and mail it along with your contribution.
Make checks, corporate matches or other gifts payable to:
Community Resource Center
ATTN: Development Office
650 Second Street Encinitas, CA 92024
Contact: Stacy Slagor [email protected] , 760-230-6305
Donor Information
Name
Address
City, St, Zip Code
Phone 1 | Phone 2
Email
Pledge Information
I (we) pledge a total contribution of $
Now
Monthly
Quarterly
to be paid:
Yearly
My (our) gift will be matched by (company/family/foundation)
☐form enclosed ☐form will be forwarded
☐Please contact me about Planned Giving Opportunities.
Donation Information
Amount of enclosed check: $
For stock gifts, contact Stacy Slagor − [email protected]
Acknowledgement Information
Please use the following name(s) in all acknowledgements:
☐I (we) wish to have our gift remain anonymous.
My gift is in memory of
My gift is in honor of
Please notify the following individual(s) of this gift:
Name
Address
City,St, Zip Code
Thank you for supporting the Community Resource Center! Your gift helps accomplish our mission of creating paths to safety,
stability and self-sufficiency.
Community Resource Center is a 501(c)(3) charitable tax-exempt organization. Tax ID: 95-3497926
No goods or services were given in exchange for this contribution. Contributions are tax-deductible to the extent allowed by
law.