CAPITAL CAMPAIGN PLEDGE FORM YES! I’d like to be a part of the FUTURE of the Becker County Historical Society! Countme in. I understand that my gift can be paid in installments over a multi-year period.I’m ready to Re-Imagine the museum. Capital Campaign Pledge Form First Name * Last Name * Company Or Organization Street Address * City * State * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip * EMail Address * Phone * We would like to contribute (Fill In Dollar Amount) for the construction of a new Becker Co. Museum * We will pay the pledge in * 2019 2020 2021 2022 2023 2024 By scheduled installments of (Fill in Dollar Amount) * Due on the * 1st 15th Last Day Of The * Month Quarter Year Pledge payments will be made by Cash Check Credit Card (Read Note At End) I/We would like this gift to be made in honor of I/We are interested in making a gift, stock, other items or services. Please Contact me. Yes My gift will be matched by Company Foundation Family Other None I/We would like to be recognized as a campaign donor. Please use (Fill In) in all acknowledgements. (Naming rights valid through 2031) I/We would like to be Anonymous Yes Anonymous Type Full Name To Sign * Type Today’s Date To Sign * Submit If you are human, leave this field blank.