The Mater Admirabilis Chapel and Spirituality Center Gift/Pledge Form

DONOR INFORMATION

Name ___________________________________________________________________________________________________________

Address __________________________________________________________________________________________________________

City, State Zip _____________________________________________________________________________________________________

Phone (Home) __________________________________________ Email ___________________________________________________

GIFT/PLEDGE AMOUNT

GIFT:  I (we) hereby contribute a total of $____________ cash and/or assets to Carrollton School of the Sacred Heart.

PLEDGE:  I (we) pledge a total of $____________ cash and/or assets to Carrollton School of the Sacred Heart

 I would like the amount of $____________ from my total donation to be designated to The Mater Admirabilis Chapel.

 I would like the amount of $____________ from my total donation to be designated to the Fund for Carrollton.

GIFT/PLEDGE DETAILS

 I would like to make my contribution as a one-time GIFT of $____________ OR  I would like to make my contribution as a PLEDGE in multiple payments:

Please bill me beginning on ____________ and thereafter  monthly  quarterly  annually  other ____________

I (we) wish to have this donation spread over  1 year  2 years  3 years  other ____________

$____________ payment amount to be allotted The Mater Admirabilis Chapel.

$____________ payment amount to be allotted to the Fund for Carrollton.

 I (we) have made provisions to include Carrollton School of the Sacred Heart in my (our) will/estate planning.

Contribution Form

I (we) plan to make my (our) contribution in the form of  cash  check  charge  stock  property  other ______________________

Please charge my credit card: (circle one) AMEX/ VISA /MC number _____________________________________________________

Expiration date ___________ Sec. Code_______ Authorized Signature ___________________________________________________

LISTING

(Donors will be recognized in campaign materials unless an anonymous gift is requested.) Please use the following name(s) in all acknowledgments: __________________________________________________________________________________________

Signature(s) _________________________________________________________________________________ Date ________________

Please make checks, corporate matches and stock transfers payable to Carrollton School of the Sacred Heart. Donations are tax-deductible to the extent allowed by the law.

Mail your gift or pledge to: Carrollton School of the Sacred Heart

3747 Main Highway, Miami, Florida 33133-5997 • 305-446-5673