recurring giving form!

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FRIENDS SEMINARY RECURRING GIFT FORM With a recurring gift, your regular contributions add up over time making a significant impact on Friends Seminary. Please fill this form out to schedule your recurring gift.

Name Address City State

Zip

Phone E-Mail I/We pledge $________ to Friends Seminary Annual Fund. I AUTHORIZE FRIENDS SEMINARY TO CHARGE MY CREDIT CARD AS PER THE PAYMENT SCHEDULE BELOW:

Please charge $ ________ to my credit card each month for ________ months, beginning on (date) ________________. Visa

Mastercard

American Express

Discover

Name on card Card # Exp. Date Signature (please type name if you are emailing this form back) My company will match my gift and I will provide you with the necessary form. PLEASE MAIL, FAX OR EMAIL Deirdre O'Brien Director of Annual Giving 222 East 16th Street New York, NY 10003 [email protected] fax 212 505 8592 phone 646 979 5054