Museum of Coastal Carolina Donor Sponsorship Pledge Form

Museum of Coastal Carolina
Donor Sponsorship Pledge Form
Donor Information
Name: ________________________________________________________________________
Billing Address: _________________________________________________________________
Telephone: Home _________________________ Business ______________________________
Fax: ____________________________ Email: ________________________________________
Sponsorship Levels
Whale Sponsor -- $5,000
Shark Sponsor -- $2,500
Dolphin Sponsor -- $1,000
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
Gift will be matched by _____________________________ (company/family/foundation).
___ Form is enclosed
___ Form will be forwarded
___ I wish to be contacted to be a major exhibit sponsor.
Acknowledgement Information
Please use the following name(s) in all acknowledgements:
______________________________________________________________________________
___ I (we) wish to have the gift remain anonymous.
Signature: ________________________________________ Date: _______________________
Please make checks, corporate matches, or other gifts payable to:
Ocean Isle Museum Foundation, Inc., 21 E. 2nd Street, Ocean Isle Beach, NC 28469
Rev. 12/12/14