AGMA Foundation Annual Campaign Pledge Form

The following opportunities for giving are available:

Corporate

• Leader ($7,500 & above)
• Patron ($5,000 - $7,499)
• Benefactor ($2,500 - $4,999)
• Partner ($1,000 - $2,499)
• Friend (up to $999)

Individual

• Patron ($750 & above)
• Benefactor ($500-$749)
• Partner ($250-$499)
• Friend ($100-$249)
• Donor (up to $99)

Type of pledge:

Corporate
Individual

Pledge amount: $

Pledge to be fulfilled within:

One Installment
Two Installments

Name:
Company:
Address:
Address 2:
City:
State:
Zip:
Phone:
E-Mail:

Contributions made to the AGMA Foundation, a section 501(c)(3) organization under the Internal Revenue Code, are considered charitable contributions for U.S. Federal income tax purposes. As always, we recommend you consult your tax advisor.