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									           McPherson Museum Capital Campaign Pledge Form

In consideration of the gifts of others, I/we pledge a gift to the McPherson Museum and Arts
Foundation’s Capital Campaign in the amount of ____________________.


It is my/our intent to pay this pledge over ________ years’ time in payments as follows:

Date _________________________ Payment Amount _____________________

Date _________________________ Payment Amount _____________________

Date _________________________ Payment Amount _____________________

Date _________________________ Payment Amount _____________________

Date _________________________ Payment Amount _____________________


        I/We would like our name(s) to be listed as: _________________________ OR

        I/We would like to make this gift in honor of: ________________________ OR

        We would like our gift to remain anonymous.


Signature _________________________________ Date ______________________



Please complete the following for our records:

Name: ________________________________________________________________

Address: ______________________________________________________________

Telephone: _______________________________ Email: _______________________



Campaign Volunteer ________________________________ Date _______________
(If applicable)

								
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