TAX DEDUCTIBLE Pledge and Donation Card

Print this page, fill it out and send it in!

I am making a one time contribution to The Ninety-Nines
Endowment Fund of $________________________ (amount)

Name: __________________________________________________________________________

Address: ________________________________________________________________________

City/State/Zip/Country _____________________________________________________________

I pledge a monthly contribution of $_______________ (amount)

I pledge a yearly contribution of $_______________ (amount)

This pledge shall start on ____________________ (date)

This pledge shall be in effect to ________________ (date) unless revoked by me at an earlier date.

___________________________________________________
Signature

___________________________________________________
Date

Put an "X" in the box by the method of payment you would like to use:

Personal Check Credit Card: VISA MC AMEX

Credit Card # ________________________________________

Expiration Date ______________________________________

___________________________________________________
Signature

___________________________________________________
Date

Your Name: _______________________________________________________

Address: __________________________________________________________

City/State/Zip/Country _______________________________________________

Checks should be made out to Ninety-Nines Endowment Fund and mailed to:

Ninety-Nines Endowment Fund
Gayl Henze, Treasurer
4130 Timber Lane
Philadelphia, PA 19129-5526
USA

Credit Card contributions may be mailed, emailed or phoned to:

Ninety-Nines Endowment Fund
Gayl Henze, Treasurer
4130 Timber Lane
Philadelphia, PA 19129-5526
USA
Phone: 215 843 6456
Email: Gayl Henze

Trustees:

Carolyn Van Newkirk, Chair

Judith Bolkema-Tokar, 1st Vice-Chair

Nancy Aldrich, 2nd Vice-Chair

Barbara Strachan, Secretary

Gayl Henze, Treasurer