Because I care about helping families and individuals touched by adoption, I pledge:
___ Provider ($1 - 99)
___ Supporter ($100 - 249)
___ Advocate ($250-499)
___ Sustainer ($500 - 999)
___ Champion ($1,000 & above)
My pledge this year is $___________________________.
(Due by Dec. 31 of this year)
Check of $________ is enclosed.
I will make installments of $__________________
__ monthly __ quarterly. (____Please send reminders.)
My company _____________________________________________________
has a Matching Gift Program, and I'm enclosing the necessary forms.
(As you want it to appear on published donor lists,
or ___check here if you wish your gift to remain anonymous.)
Mailing Address __________________________________________________
Your Profession ___________________________________________________
Email Address ________________________________________________________
This gift is in ____ memory ___ honor of ____________________________
(Please indicate the name and address of the person you wish
to receive acknowledgement about the gift.)
____ I would like volunteer information.
____ I would like AKA to do a program at my school,
church, civic group, etc.
AKA, Inc. is a non-profit 501 (c)(3) organization.
Contributions are tax-deductible to the extent allowed by law.