ADV_PledgeForm

ADV_PledgeForm

Make a Pledge

Please complete the form below to make a pledge. You may fulfill pledges using any of the methods outlined in Ways of Giving.

Note: Fields with an asterisk * are required fields.

First Name: Required Field

Last Name: Required Field

MHC Last Name:

MHC Affiliation:

MHC Class Year:

Pledge Duration

Pledge Duration One-time
Multi-year (2 to 5 years)

Total Pledge Amount: Required Field

I would like to give to:

My pledge is anonymous.

Pledge Reminders:

Pledge Reminders: quarterly
semi-annually
annually

All pledges payments are due by June 30 of each year.

Multi-Year Pledge Options

If you selected "Multi-year (2 to 5 years)" for your pledge's duration, please complete this section.

Number of years:

I would like my total pledge split each year:

I would like my total pledge split each year: Equally - same amount each year
Other - different amount each year

If you selected "Other," please describe how you would like your pledge split across the number of years selected.

Contact Information

Email:

Address 1

Address 2

City

State

Zip

Country

Is this a new home address?

Home Phone

Cell Phone

Comments

As a thank-you for your participation in March4MHC, you may choose to receive an exclusive Mount Holyoke College “Forged in Dissent” branded item based on your gift amount:

Under $75: sticker
$75–$999: bandana
$1,000+: baseball hat

If you would like to receive your gift, please opt in below. Gifts will be mailed in April to the preferred address in our records.

Please send me the thank-you item Required Field