Annual Fund Donation Form

Thank you for helping us nurture and teach bright, future global citizens at Brooklyn Waldorf School.

First Name *

Last Name *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Country *

Phone Number *

Email Address *

Date

Type of Gift *

One Time

Pledge

Campaign *

Name of Student/s

Who should we attribute this donation to? *

We will acknowledge your gift publicly unless you check the box below:

I prefer to remain anonymous

In Honor of:

In Memory of:

Donation Amount: *

3.0 % Debit/Credit Card Convenience Fee : *

I will help cover the school's debit/credit card fees for this donation transaction

Please do not include the 3.0% convenience fee when charging my card for my donation amount

Date you will fulfill this pledge. * +

Does your company match employee donations? *

Yes

Company Name *