GITA

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Online GITA Foundation Pledge

In consideration of the gifts of others, the recognition provided below, and with the knowledge that this unrestricted pledge will be relied upon to support the GITA Foundation, I/We agree to make a gift of $ .

PAYMENT IN FULL

	The pledge will be paid in full.

		I/We will mail a check for the full amount.
		Please charge my credit card for the full amount. (Please complete the credit card information below.)

INSTALLMENTS

	The pledge will be paid in equal installments.

		I/We will mail the initial payment of $ .
		Please charge my credit card below for the initial payment of $ .

	The remaining balance will be paid over a period of years, not to exceed three, in equal amounts every:
		Month
		Quarter
		Year
	beginning (month), 20 (year).

	Please invoice me/us for each installment.
	Please charge the credit card below for each installment.

WHEN ACKNOWLEDGING THIS GIFT, please list my/our name as follows:

Name:
Name:

I/We wish this gift to be anonymous.

SIGNATURE

If you agree to the terms above, please type your first and last name and the date in the spaces provided below:

* First Name
* Last Name
* Date


* First Name
* Last Name
* Date

CREDIT CARD
Payment in U.S. funds.
Method of payment:
Name on card:
Credit card number:
Expiration date (mm/dd/yy):

BILLING ADDRESS OF CARDHOLDER
Address:
City:
State/Province:
ZIP/Postal code:
E-mail:

Questions about pledging?