North of Grand Neighborhood Association

Pledge Form for Restoration Ingersoll Project

May 04, 2006

Yes, You Can Count On Me!

Put my donation to work to help Restoration Ingersoll.

___ $10 ___ $25 ___ $50
___ Other $ _______________

____ Please accept this as a one time pledge
____ Please accept this as a multi year pledge of:
$ ______ 1 yr $______ 2 yr $______ 3 yr

____ Please contact me regarding matching my gift with a Company or Foundation

*Please make your check payable to:

Restoration Ingersoll

Mailing Address:
c/o The Greater Des Moines Community Foundation
1915 Grand Avenue
Des Moines, IA 50309


Name _________________________________________

Address ________________________________________

Phone _________________________________________

E-mail __________________________________________

All donations are tax deductible to the extent allowed by the law.

An acknowledgement and tax letter will be mailed to the above address.