Camp Manito-wish Pledge Form

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Please complete the following
*Required fields
First Name*
Middle Name
Last Name*
Name(s) as you wish to be listed
Address 1*
Address 2
City*
State/Province*
Zip/Postal Code*
Country
Home Phone*
Bus. Phone
Email*

I/we wish to give the following to the Camp Manito-wish YMCA: $

I wish to make a gift to the (required)

Within the area selected above, please direct my gift to: (required for all gifts but Preserving Our Heritage Capital & Endowment Campaign)

Greatest Need Campership Other

If Other, please specify other endowment/fund/program you wish to support

This gift is in Honor of Memory of the following person(s)

Please notify of this gift.

Address

City State Zip

Payment:
Card Type*
Name on Card*
Card No.*	- - - CVV Code
Expires*
Charge on the following schedule:
Upon Reciept Monthly amount $ [charged in 12 equal installments] Quarterly amount $ [charged in Jan., Apr., Jul., Oct.] Other [list month(s) and amounts desired below]
Check here if this is a payment on a pledge.
A Matching Gift Form will be mailed to the camp office.
Please send me information about planned giving and Fires of Friendship Circle membership.
I/we have remembered Camp Manito-wish YMCA in my/our estate.

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