Pledge Form
Benefit for Kim Roberts
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We remain
steadfast in our commitment to strengthen our nation through
love, hope,
and compassion. It is through
generous contributions, that these
missions continue to reach and uplift other people in similar situations.
Donor Information (please print or type)
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Pledge Information
I (we) pledge a total of $to be paid: Date: __________________
Via ____Bank Deposit ____Hand deliver day of show ____Arrange pick up
I (we) plan to
make this contribution in the form of:
Cash ____Check Gift
Card Gift
Certificate Services ____Travel
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:
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I (we) wish to have our gift remain anonymous.
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Signature(s) |
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Please make checks, corporate matches, or other gifts payable to:
Kim Roberts Benefit
If
donating goods, merchandise, services etc. Please
email this form to kimrobertsbenefit@yahoo.com A
representative will call to schedule a pick up if
necessary.
MailTo:
First Financial Bank
C/O Kim Roberts Benefit
815 S. Breiel Blvd.
Middletown, OH 45044
Thank you for your generous support!