2003/2004
Dreams
and Possibilities Campaign Pledge Form
Yes!
My organization wants to donate to the MAAHFoundation! Please complete this
form, print it out, and enclose it
with
your payment, payable to the Moore American Affordable Housing Foundation. Mail
to: MAAHFoundation 2210 Sullivan Road, Building 30 Unit 3, College Park, Georgia
30337 Fax to: 770-234-6943
Name
(as you wish listed):
_________________________________________________________________________
Address:
_______________________________________________________________________________________
City,
State, ZIP Code:
_____________________________________________________________________________
Phone
number:
__________________________________________________________________________________
E-mail
address:
__________________________________________________________________________________
I
am/We are pledging support to the Dreams
and Possibilities Campaign as a/an:
Investors
Circle donor ($100,000 or more)
Gold
donor ($1,000 to$4,999)
Trustees
Circle donor ($25,000 to $99,999)
Friend ($500 to
$999)
Family
Circle donor ($15,000 to $24,999)
Friend ($100 to
$499)
Charter
Circle donor ($5,000 to $14,999)
Friend (Up to $99)
Please
note that gifts of $1,000 or more may be paid over a pledge period of up to 5
years. Please complete the
following
as appropriate:
This
pledge will begin in (month/year):
_____________________________________________________.
This
pledge will be paid at the rate of $ __________ per
year
quarter
month.
Is
this donation being made in memory or in honor of someone special? If so, please
complete the following:
In
Memory of: ________________________________________________________
In
Honor of: __________________________________________________________
This
gift is made by
Check
Visa
MasterCard.
Card
#: __________________________________________________________________
Expiration
Date: _________________________________________________________
Signature:
______________________________________________________________
The
MAAHFoundation is a 501(c)(3) nonprofit organization under the regulations of
the Internal Revenue Service. All contributions to the Foundation are
tax-deductible to the extent provided by law.
Thank you!
