Building for the Future
FOUNDATION FOR THE FUTURE
Crosswinds Youth Services
Learning & Assessment Center
Capital Campaign 2007
I wish to pledge the sum of $__________ per year for a period of __________ consecutive years to Crosswinds Youth Services for the Learning and Assessment Center Capital Campaign.
This total pledge will amount to the sum of $__________. The first year of this pledge will be during 2006. The first month will be __________.
It is my intent to contribute these sums in:
______Annual Installments ______Monthly Installments ______Other (Please explain)____________________________________________________________________
______I request to receive reminders from Crosswinds Youth Services one month prior to each annual payment.
Printed Name:________________________________________________________
Signature:___________________________________________________________
Address:_____________________________________________________________
City/State/Zip:________________________________________________________
Phone:______________________________________________________________
Date:________________________________________________________________
While I make this pledge in good faith, I reserve the right to revoke or
modify it in any way in the event of unforeseen circumstances at any time.
Crosswinds Youth Services
1407 Dixon Blvd.
Cocoa, FL 32922
321.452.0800
