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ST. CHRISTOPHER SCHOOL ANNUAL FUND Pledge/Donation Form
My gift is $_________ [ ] Paid in full [ ] Paid in 3 installments [ ] If you do not wish your name to be published, please indicate here.
[ ] In memory of ___________________________ [ ] In honor of ____________________________ [ ] Eligible for Matching Gift
NAME MAIDEN NAME (If alumna)
ADDRESS
PHONE E-MAIL OCCUPATION
[ ] Alumni [ ] Parent [ ] Past Parent [ ] Grandparent [ ] St. Christopher Parishioner [ ] Friend
[ ] I authorize use of my credit card for payment in the amount of $ __________ [ ] VISA [ ] MASTER CARD Card # ______________________
Exp. Date ______________________ Signature _____________________________________ Date ___________________________
Please indicate your gift choice: [ ] Platinum Society $ 2500 or more [ ] Benefactor $1000 to $2499 [ ] Principal’s Circle $500 to $999 [ ] Maroon & Gold $250 to $499 [ ] Century Club $100 to $249 [ ] Donors Club $50 to $99 [ ] Giving Circle up to $49 Please mail form to: St. Christopher School, 570 Brewer Street, East Hartford, CT 06118
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If you'd prefer Adobe format click here: Adobe Pledge Form To view and print this form, you will need to have Adobe Acrobat Reader installed on your computer. It is a free download