Be A Star!
 
 

Help Us Set the Stage for Future Generations!
   
For additional information on the capital campaign, you may contact us by e-mail or complete the following pledge form to make a gift. Inquiries may also be directed to Kathy Short Rabon, Executive Director, PAC Foundation, Inc., 1111 McMullen-Booth Rd., Clearwater, Florida 33759 or call the PAC Foundation office at (727) 712-2712.
       
   

 

PLEDGE FORM
Please complete the following information:
 
Donor Information
 
Full Name:
(as you would like it to appear in printed materials)
Company Name:
(if a corporate gift)
(as you would like it to appear in printed materials)
Address:
Address 2:
City, State, Zip:
   
Day Phone:
Evening Phone:
   
E-Mail Address:
   
I / We make this gift in memory of:
and prefer this recognition in printed materials.
I / We make this gift in honor of:
and prefer this recognition in printed materials.
   
Gift Information  
   
I/We are pleased to make a commitment of:
To be paid over:
   
My payment today is:
 
The balance of my pledge will be paid by: (SELECT FROM OPTIONS BELOW)
 

OPTION1: (select one)

Send an annual reminder beginning (enter month and year)
OR
Annually charge my credit card beginning (enter month and year)

 

OPTION2:
I/We are interested in contributing appreciated stock. (PLEASE CONTACT US)
   
Named Gift Opportunities  
   
I/We are interested in the
Named Gift Opportunity of:
   
Additional Named Gift Opportunities of $10,000 and above are also available. For details contact Kathy Short Rabon at (727) 791-7060.
   
Matching Gifts  
Please note some employers recognize the charitable contributions of their employees by providing a matching gift. Please let us know if your employer does, so that we may make the appropriate arrangement to recognize the total gift you have provided.
   

Payment Information		  
   
Credit Card:
Credit Card Number:
Expiration Date:
Name as it appears on
credit card:
   
Comments:  
   
 
 
Thank you for your generosity and support. A confirmation of your gift will be sent via regular mail within two weeks.
   
   
 
 
 
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