Annual Fund Pledge Form — Orchard House Middle School

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Folder: ADMISSIONS

Gryphons Give Fund Pledge Form

Thank you for committing to give to this year's Gryphons Give Fund. Please note that payments on pledges should be submitted before June 30.

Donor Name(s) *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email *

Phone

(###)

###

####

Affiliation

Alumnae

Current Parents

Grandparents

Alumnae Parent

Alumnae Grandparent

Board Member

Former Board Member

Faculty/Staff

Current Student

Former Staff

Friends

Other Family Member

I wish to remain anonymous

Yes

No

Pledge Amount *

This gift is eligible for a corporate match from

The gift is in honor of:

The gift is in memory of:

Please designate my gift for:

Wherever it is needed most

Tuition Assistance

Athletics

Library and Technology

Visual and Performing Arts

Thank you so much for your pledge to OHMS!

Non-Discriminatory Statement

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