This is a: One Time Gift     3 Year Pledge     Other
Gift amount: $
Please remind me/us: Monthly     Quarterly     Annually
By:

Donor Designations: Unrestricted
People
Place
Communications
Future


Mark if applicable:
I/we also commit to continuing my/our support of the Needle's Eye Annual Fund at the current or an increased level.
I/we have included/may include Needle's Eye in my/our estate planning.
Prefix:

*First Name:

*Last Name:

*Preferred E-mail:

Address 1:

Address 2:

City:

State

Zip:

*Phone:

I/We will support the Capital Campaign effort to the best of my/our ability.
Signature (Please Enter Full Name)


*Required



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