Pledge Form (Please complete all requested information and print clearly) In consideration of the gifts and pledges of others to help ensure the future of the American Guild of English Handbell Ringers (AGEHR), I/we promise to give AGEHR, a recognized 501(c)(3) charity, a tax-deductible gift in the amount of $ , payable as noted below. A. Pledge Schedule To be paid within 3 years: Monthly Quarterly Semi-Annually Annually Other ______________ Anticipated amount of each gift payment $ _________________ B. Initial Pledge Payment Please accept my initial gift payment of $_______________ enclosed by Check #______________ Please make check payable to “AGEHR” Credit Card: MasterCard or Visa (please circle choice) Account Number Security Code Expiration / Card Holder’s Name as it appears on card _____________________________________ C. Stocks and/or Securities □ Please have someone call; I/we wish to discuss a gift of appreciated stock and/or securities to avoid capital gains taxes. D. Reminder Please send me reminders to pay my pledge on ___/___/___ E. Recognition This is how I/we would like this gift to be acknowledged: ________________________________________________________________________ (Please print name(s) as you want it to appear in donor recognition materials) I/we would like to discuss a naming opportunity. Please do not publish name in donor recognition materials; I/we prefer to remain anonymous. This gift should be credited to the following Challenge: Signature ___________________________________ AGEHR Member No._______________ Preferred Mailing Address City, State, Zip Telephone E-Mail Date _______________________ Click to Submit Form 1055 East Centerville Station Road Dayton, Ohio 45459 937-438-0085 (phone) 937-438-0434 (fax) Or e-mail to: firstname.lastname@example.org Gifts Paid Over a Three-Year Pledge Period Gift Paid Annually Paid Quarterly Paid Monthly $7,500 $2,500 $625 $208 $5,000 $1667 $417 $139 $2,500 $833 $208 $69 $1,500 $500 $125 $42 $1,000 $333 $83 $28 $750 $250 $62 $21 $500 $167 $42 $14 $250 $83 $21 $7 $100 $33 $8 $3 All gifts are tax-deductible. Gifts of appreciated stock are encouraged.