Iowa State FarmHouse Fraternity
Iowa State FarmHouse Fraternity Remodeling and Expansion Project PLEDGE FORM Please provide your contact information below. Name ________________________________________ E-mail ______________________________________ (Home) Address ______________________________________ Primary Phone _____________________ Secondary City/State/ZIP _________________________________ Secondary Phone ___________________ (Cell) I pledge and agree to pay the total sum of $____________ to benefit the Iowa State Chapter of FarmHouse Fraternity in its remodeling and expansion project, as approved by the Iowa State FarmHouse Association Board. This pledge will be payable according to the following schedule: $__________ on/by ______________ (date). $__________ on/by ______________ (date). $__________ on/by ______________ (date).
$__________ on/by ______________ (date). $__________ on/by ______________ (date).
I wish to be reminded of my pledge on an annual basis. I do not wish to be reminded of my pledge. Tax deductible contributions, e.g., checks, credit card gifts, commodities and/or stock transfers, make payable to and mail to The FarmHouse Foundation. The FarmHouse Foundation is a 501(c)(3) organization. Federal ID number: 36-6111880. If you have questions about making a gift, please contact Allison Rickels, 800-722-1905, [email protected]. The FarmHouse Foundation c/o Allison Rickels, Executive Director 7306 N.W. Tiffany Springs Parkway, Suite 210 Kansas City, MO 64153
** Please indicate on the memo section of the check this gift is for the Iowa State FH Building Fund.
Non-tax-deductible contributions (for example, for those individuals who do not itemize their taxes and who take the standard deduction) make payable to and mail to: Iowa State FarmHouse Association c/o Steven Lonergan, Board Treasurer 1465 Y Avenue Ames, IA 50014
** Please indicate on the memo section of the check this gift is for the Iowa State FH Building Fund.
Signature:______________________________________________
Date:_________________
Please print the name/names and year of initiation for the permanent donor lists. _________________________________________________
____________
_________________________________________________
____________
_________________________________________________
____________
If you have questions or comments, please contact: Reid W. Crawford, 240-463-9773, [email protected]
$__________ on/by ______________ (date). $__________ on/by ______________ (date).
I wish to be reminded of my pledge on an annual basis. I do not wish to be reminded of my pledge. Tax deductible contributions, e.g., checks, credit card gifts, commodities and/or stock transfers, make payable to and mail to The FarmHouse Foundation. The FarmHouse Foundation is a 501(c)(3) organization. Federal ID number: 36-6111880. If you have questions about making a gift, please contact Allison Rickels, 800-722-1905, [email protected]. The FarmHouse Foundation c/o Allison Rickels, Executive Director 7306 N.W. Tiffany Springs Parkway, Suite 210 Kansas City, MO 64153
** Please indicate on the memo section of the check this gift is for the Iowa State FH Building Fund.
Non-tax-deductible contributions (for example, for those individuals who do not itemize their taxes and who take the standard deduction) make payable to and mail to: Iowa State FarmHouse Association c/o Steven Lonergan, Board Treasurer 1465 Y Avenue Ames, IA 50014
** Please indicate on the memo section of the check this gift is for the Iowa State FH Building Fund.
Signature:______________________________________________
Date:_________________
Please print the name/names and year of initiation for the permanent donor lists. _________________________________________________
____________
_________________________________________________
____________
_________________________________________________
____________
If you have questions or comments, please contact: Reid W. Crawford, 240-463-9773, [email protected]
