DONOR PLEDGE FORM
I wish to make the following gift to the DCMS Foundation CampaignForTheFuture (please check one):
$5,000* $2,500* $1,000* $ Other (Please indicate amount below)
*Gifts of $1,000 or more will receive perpetual recognition with your name listed at the appropriate donor level on a permanent donor wall inside the new DCMS building.
Total Gift Amount: $_____________ Initial Payment: $_____________ Balance: $_____________
Gifts of $1,000 or more may be made with a multi-year pledge. I wish to pay the balance of my pledge over: 2 years 3 years Pleasenote,pledgepaymentswillbedueeachyearbyDecember31st.Youmaypayaheadofscheduleifyouwishtodoso.
Donor Signature:
Donor Name:
Mailing Address:
City: State: Zip Code:
Telephone:
Email:
For the purposes of Donor Recognition, I would like my/our name listed as:
Please do not publish my name and only recognize my gift as ‘anonymous.’
Scan the QR code or go to www.dallas-cms.org/capitalcampaign to make a credit card contribution safely and securely:
If paying by check, please make payable and mail to:
DCMS Foundation 2611 Fairmount Street Dallas, Texas 75201
For questions, contact Jon Roth at jonroth@dallas-cms.org or call (214) 948-3622
The DCMS Foundation is a 501(c)3 charitable corporation, Tax ID #23-7375790. This letter confirms that no good or services were received in exchange for this donation and may be deductible from Federal income tax. Consult your tax advisor.