Pledge Form

 Children Unlimited, Inc. Pledge Form

Yes!  I/We intend to contribute a total of $__________________ to support Children Unlimited, Inc.’s mission of serving at-risk and developmentally delayed children.  We understand how important it is for each child, every child, to feel included, nurtured and loved.

My/our gift will be paid over a period of ______ (up to three) years in:
    Annual installments _____    Semi-annually _____     Quarterly __________________
    Or as follows: _________________________________________________________

I/We will begin our payments as follows:
      My/our check for $ _________ is enclosed.    
      My/our first payment of $_________will be made on _________________ (date)

Please designate our gift for:
      ________  Overall assistance of CUI’s important work
      ________  Build a Playground
      ________  Support a Program
      ________  Scholarship a Child

Please note that my/our Gift is:
      In honor of __________________________________________________________
      In memory of ________________________________________________________

Does your company have a matching gift program?  _____
Company name: ____________________________

May we publish your name(s) in a list of donors?  __________
I/We would like this gift to be recognized and printed in the following way:
    (i.e., Mr. & Mrs. John Smith) _________________________________________________

Pledge Signature ____________________________________  Date _______________
Name (printed) __________________________________________________________
Address _______________________________________________________________
Telephone _________________________   Email ______________________________

 

Please send pledge cards and contributions to
Children Unlimited, Inc., P.O. Box 986, Conway, NH 03818 
All checks should be made out to Children Unlimited, Inc.
Children Unlimited, Inc., is a 501 (c)(3), and all deductions are tax deductible to the fullest extent of the law.

Thank you for supporting Children Unlimited, Inc.