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.

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

The remaining balance will be paid over a period of

years, not to exceed three, in equal amounts every:

Month

Quarter

Year

beginning(month)

year

Please invoice me/us for each installment.

Please charge the credit card below for each insta

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

Name

Any Additional Names

I/We wish this gift to be anonymous.

	SIGNATURE
	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

Any Additional Contributors List First Name, Last Name and Date.

	CREDIT CARD
	CREDIT CARD

Payment in U.S. funds.
Payment in U.S. funds.

Method of payment:

Name on card:

Credit card number:

Credit Card Security Code

Expiration date (mm/dd/yy):

	BILLING ADDRESS OF CARDHOLDER
	BILLING ADDRESS OF CARDHOLDER

Billing Name

Address:

City:

State/Province:

ZIP/Postal code:

E-mail: