Anna Maria Island Community Center

Anna Maria Island Community Center
Campaign Pledge Form

*Contact Information: ( denotes required fields)**
*Name
*Street
*City	*State	*Zip
*Home Phone	Cell Phone	Work Phone
*Email

*I / we hereby contribute cash and/or assets to the Give Where You Lives Campaign* for the:**
Building and Construction Fund		Endowment Trust
I/We pledge	Enclosed $		Balance Due

Please bill me:
Beginning	and thereafter:	Quarterly		Annually		Other

I/we wish to pay this pledge over:

1 Year

2 Years

3 Years

Other

My gift will be matched by:
Company Foundation Family
In the amount of:	Form Enclosed	Form will be forwarded by Donor

Please send information on including the
Anna Maria Island Community Center in my/our will or estate planning.

I/we plan to make my/our contribution in the form of:
Cash	Check	Charge	Stock*	Property*	Other:
*For details regarding donations in the form of stock, property or other assets, please contact our Development Department at 778-1908.

Feel free to list or announce this gift to inspire other donors. Please use the following in all acknowledgments:
I request that this gift remain anonymous.		I wish to know about naming opportunities.

Our office staff will contact you if you have checked the credit card payment option.

Please make checks and corporate matches payable to:	AMICC - Building Fund
Anna Maria Island Community Center - Building Fund P.O. Box 253 Anna Maria, FL 34216
QUESTIONS? Please contact our Development Department, at (941) 778-1908.
Donations are tax deductible to the extent allowed by law.