Online Pledge Form
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Note
: A pledge merely identifies your
intent
to make a gift, and authorizes the College to issue reminders of this intent. By filling out a pledge form, you are under no obligation to make a gift right now.
Personal Information
Last Name
First Name
Middle Initial
Maiden Name
Class Year
Address
Apartment
City
State
Select one
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Tennessee
Texas
Utah
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West Virginia
Wisconsin
Wyoming
Zip
Country
E-mail
Preferred Phone
(xxx-xxx-xxxx)
Phone Type
Select one
Cell
Home
Work
This information is new; please update my record.
Your Pledge Gift
In recognition of the importance of giving to the Pioneer Fund at Grinnell College,
I/we would like to pledge the following gift amount $
I want to share this recognition with my spouse/partner:
Class Year (if applicable)
Please enter spouse's/partner's preferred title and name.
Pledge Payment and Reminder Schedule
Your gift to the Grinnell College Pioneer Fund, received prior to June 30, will be acknowledged
in that year's annual Honor Roll of Giving.
Please select one of the following four options:
I will pay this pledge in full. Please send me a reminder in the month of
Select month
January
February
March
April
May
June
July
August
September
October
November
December
I will pay this pledge in
number of payments at $
each starting in
Select one
January
February
March
April
May
June
July
August
September
October
November
December
.
I would like to pay my pledge on a
Select one
Bi-annual
Quarterly
Monthly
schedule and start receiving pledge payment reminders in the following month:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
As a faculty or staff member of Grinnell College I would like a monthly deduction from my paycheck.
Please start this deduction:
Immediately
Select month
January
February
March
April
May
June
July
August
September
October
November
December
Thank you for your pledge
!
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