ICC Capital Campaign - In the City for a Global Community

Name

(as you wish to be recognized in the season program)

How would you like to to give?*

I would like to make my gift in full on submission of this form I would like to pledge a gift with my first payment due on submission of this form

I would like to make this gift:*

One-time Recurring Monthly Recurring Quarterly

How much would you like to donate today?*

$9,111.00 $911.10 $91.11

Other:

How much would you like to pledge today in total?*

$9,111.00 $911.10 $91.11

Other:

How frequently would you like to make payments on this pledge?*

Recurring Monthly Recurring Quarterly

How much would you like your pledge payments to be (first payment will occur on submission of this form)?* $

Are you an Indianapolis Children's Choir, Columbus Indiana Children's Choir, or Anderson Area Children's choir alum?

No Yes

Which organization were you involved in?

Indianapolis Children's Choir Columbus Indiana Children's Choir Anderson Area Children's Choir

Which alumni giving club are you a member of?

Young Alumni Club (Alumni who graduated 4 years ago or less) Harmony Club (Alumni who graduated 5 - 9 years ago) Melody Club (Alumni who graduated 10-19 years ago) Descant Club (Alumni who graduated 20-29 years ago) Legacy Club (Alumni who graduated 30-39 years ago)

Email*

Credit Card*

Cardholder's Name*

First Name

Last Name

Cardholder's Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Is this an honor or memorial gift?

Honor/Tribute Memorial

I would like to make a gift to the ICC in the honor of:

I would like to make a gift to the ICC in the memory of:

Please notify the following individual of this honor/memorial gift:

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Total charge to your card* $