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Contact Information   * required information
 

*Name:  
Organization:
*Street Address:  
*City:  

*State:   

 

*Zip:

   
Email:
Day Phone:

Evening Phone:

 
 
CASA's Giving Options Table      
    MONTHLY QUARTERLY SEMI-ANNUAL ANNUAL
ADVOCATE $417 $1,250 $2,500 $5,000
GUARDIAN $167 $500 $1,000 $2,000
VOLUNTEER $84 $250 $500 $1,000
SUPPORTER OTHER OTHER OTHER OTHER
Pledge Information  
CASA of Franklin County encourages multiple-year pledges/donations in order that we may plan ahead in our future efforts to serve abused and neglected children.  Donations may be any combination of amount, giving frequency (annually, semi-annually, quarterly, or monthly) and duration (one to five years), including one-time donations.  The table above may assist you in determining your giftExample:  If you want to give $600 a year, and give on a monthly basis, please enter a $50 contribution amount and a Monthly frequency.  To give the same $600, but on a quarterly basis, please enter $150 and Quarterly. )
One-Time Donations: To make a one-time donation, set the Frequency to “Annually” and the Duration equal to “1 Year"
Contribution Dollar Amount: $  (I will send this much at the following frequency...)
Giving frequency:   Annually    Semi-annually    Quarterly    Monthly
Pledge Duration      

 

 I attended last year's support breakfast:

(If you attended last year's breakfast, please supply the following information so that we can update our records)
     The pledge information above is a change to last year's pledge.
     The pledge information above is not a change to last year's pledge information.

Please make my donation in memory of: 

Please make my donation anonymous. (Otherwise donors will be included in CASA publications.)

Form of Payment

I will send a check payable to CASA of Franklin County.
Please send me a bill/reminder.

Additional Information

An additional pledge or part of my pledge ($) will be made through my workplace campaign.
My full contribution will be made through my workplace campaign.
I will find out if my employer will match my gift.