Individual Pledge Donation Form

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About Face International, NFP 2008 Campaign Pledge Form

In order to donate to About Face International, NFP, please complete this form, print it out and enclose it with your payment payable to About Face International, NFP. If you are providing a credit card number, you may either mail us the form or fax. About Face International is a 501Š3 organization under the regulations of the Internal Revenue Service. All contributions to About Face International are tax-deductible to the extent provided by law. Mail : About Face International, NFP, 922 W Roscoe #3, Chicago, IL 60657. Fax: 773.525.0482

Organization (as you wish listed): Address: City, State, Zip Code: Phone Number: Contact Name: Email Address/Website Address:

I/We are pledging to support About Face International, NFP as a/an: Investors Circle Donor ($100,000 and above) Trustees Circle Donor ($25,000 to $99,000) Gold Circle Donor ($15,000 to $24,999) Silver Circle Donor ($5,000 to $14,999) Bronze Circle Donor ($1,000 to $4,999) Changemaker Donor ($500 to $999) Supporting Donor ($100 to $499) 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:

Please send acknowledgement card Pledge will begin in (month/year) Chec I am making a to: This pledge will be paid at the k giftofby: rate

Visa

MasterCar d

American Express

Card #: By (year, quarter, month) Expiration Date: Billing Address: City, State, Zip Code: Signature:

About Face International, NFP: Innovating a Beautiful World Through Social Entrepreneurship p 773.525.0495 | f 773.525.0482 | info@aboutfaceintl.org | www.aboutfaceintl.org


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