Annual Fund Pledge Form

Title
First Name
Last Name
Middle Initial
Address 1
Address 2
City
State
Zip Code
Home Phone
Work Phone
Email Address
Employer

My total tax-deductible pledge in support of the BRCC Educational Foundation Annual Fund is:
$  

My employer has a matching gift program.

Please remind me of my pledge in     Select a month January February March April May June July August September October November December

The BRCC Educational Foundation is a non-profit, tax-exempt 501(c)(3) organization; all gifts are tax deductible as allowed by law. For income tax purposes, the federal ID number for the Educational Foundation, Inc., is 54-1328809.

Thank you – every gift makes a difference.