CAPITAL CAMPAIGN PLEDGE FORM – Becker County Museum

YES! I’d like to be a part of the FUTURE of the Becker County Historical Society! Count
me 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 *

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 *

By scheduled installments of (Fill in Dollar Amount) *

Due on the *

Of The *

Pledge payments will be made by

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

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 *

If you are human, leave this field blank.