Donor Commitment Form

Thank you for your support of Women's Fund of Central Indiana. Please complete this form to confirm your commitment and your preferences regarding your gift.

Donor Information

Salutation

Dr./Mrs./Ms./Mr./Mx./Rev./Prof.

Name

First Name

Last Name

Suffix

Mailing Address

Address line 1

Address line 2

City

State/Province

Zip/Postal

Mobile Phone

Email

Preferred Mode of Contact (please specify)

Email

Mobile Phone

Mail

Donor Acknowledgment Preference

Anonymous: I would like to be an anonymous donor, only known to Women's Fund staff team.

Non-Anonymous: I would like my name to appear on Annual Report donor lists.

If you selected Non-Anonymous, how would your like your name to appear on donor list?

Gift Commitment

I/We pledge to contribute the following amount

dollar amount you are pledging

Frequency of gift

Annually

Monthly

Quarterly

I/We would like to make a multi-gift/multi-year commitment:

2 years

3 years

4 years

5 years

Giving vehicle (check all that apply)

Would you like to receive a pledge reminder?

If you said yes to receiving a pledge reminder, what is your preferred timing of the reminder?

example: quarterly in March, June, September and December

Tribute Gift

Name of the person the gift is tributed toName of the person the gift is tributed to

In Memory of

In Honor of

In Celebration of

Please notify the following people of my gift (amount of gift will not be shared)

City

State/Province

Zip/Postal

Comments

Is there anything else you want us to know about this gift, or you as a donor?

For questions:
Please contact Caroline Dutkanych, Vice President of Philanthropy, at CarolineD@WomensFund.org or (317) 634-2423 x 160

Women's Fund of Central Indiana, 615 N. Alabama Street, Suite 300, Indianapolis, IN 46204

EIN: 35-1793680