Class of 1975 Pledge Commitment Form
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Name
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First Name
Last Name
Mailing Address
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Email Address
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Total Amount Pledged
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required
Must contain only numbers
Payment Schedule
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Please select up to 1 choice
I plan to make monthly payments
I plan to make an annual payment
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Payments to Begin on This Date
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Monthly Payment Amount
Please list the dollar amount of the monthly payment you wish to make toward your pledge.
Annual Payment Amount
Please list the dollar amount of the annual payment you wish to make toward your pledge.
Payment Method
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A check made out to the NFA Foundation is being mailed.
Charge my debit/credit card as indicated by the payment schedule.
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Debit/ Credit Card Number
Debit/ Credit Card Expiration Date
Debit/ Credit Card CVV Number
Signature and Date
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