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Online Pledge Form

Please enter the following information if you would like to make a pledge.

Items marked bold are required fields.

Title:
First Name:
Middle Name:
Last Name:
Enter address, city, state and postal code
as filed with your financial institution.
Address:
City:
State:
Postal Code:
Country:
Email:
Phone:
Fax:

This gift is in: In Memory ofIn Honor of
Name:

Send a notification letter on my behalf to:
Name:
Address:
City:
State:
Zip Code:
Email:
 
I/We want to help McKendree Village provide quality, loving care to its residents.
Therefore, I/We pledge a total of $
 
Monthly Contributions of: $
Quarterly Contributions of: $
Yearly Contributions of: $
 
Please accept $ as first payment on my/our pledge.
 
Card Type:
Card Number:
CVV2: Click here for CVV2 information.
Expiration Date: mm/yyyy
 
Please designate where you wish your gift to go to:
 
Please place any comments/questions or additional information in the box below:
The Foundation will contact you as soon as possible to discuss your pledge payment. Pledges are tax-deductible only as payments are received.