Pledge Form - Jobs for Delaware Graduates

Pledge Form
12BJobs for Delaware Graduates
JDG's mission is to enable students to achieve
academic, career, personal and social success.
Donor Information (please print)
Name
Billing address
City, ST Zip Code
Phone 1 | Phone 2
Fax | Email
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 | Exp. date
Credit card number
Authorized signature
Gift will be matched by (company/family/foundation)
☐form enclosed☐form will be forwarded
Acknowledgement Information
Please use the following name(s) in all acknowledgements:
☐I (we) wish to have our gift remain anonymous.
Signature(s)
Date
Please make checks, corporate matches,
or other gifts payable to:
Jobs for Delaware Graduates
381 W. North Street
Dover, DE 19904