
If you desire to pledge, please indicate your gift on this form.
Your receipt with our tax d eductible ID will be mailed to the address
you indicate below.
Please mail to: ICMF
P.O. Box 770795, New Orleans, LA (70117)
ANNUAL CAMPAIGN: A gift on an annual basis.
CAPITAL CAMPAIGN: A campaign fund, usually extending over a period of years, to
raise substantial funds for enduring purposes,
such as our building fund.
CONTINUING SUPPORT: Monies that is renewed on a regular basis.
EMERGENCY FUNDS: to cover immediate short-term funding needs on an emergency
basis.
GENERAL PURPOSES: To further the general purpose or work of ICMF, rather than for
a specific purpose or project.
LAND ACQUISITION: To purchase our currently leased 5-acre property. All monies
donated to this project are to be sent directly to a designated bank whose
officer is acting as trustee for this project. Ask us for property and/or banking details, etc.
SEED MONEY: Seed monies may cover other operating expenses of a new ICMF project.
It can also be called a "start-up" fund.
SPECIAL PROJECTS: Money to support a specific project, such as new playground
equipment.
MY PLEDGE TO INTERNATIONAL CHILDREN'S MEDICAL FOUNDATION
_______FINANCIAL SUPPORT. MY PLEDGE TO SUPPORT INTERNATIONAL CHILDREN'S MEDICAL
FOUNDATION IS: $___________ PER MONTH FOR _______ NUMBER OF MONTHS
TO BE SPECIFICALLY USED IN THE FOLLOWING AREA(S)
_______ ANNUAL CAMPAIGN
_______ CAPITAL CAMPAIGN
_______ CONTINUING SUPPORT
_______ EMERGENCY FUND
_______ GENERAL PURPOSES
_______ LAND ACQUISITION
_______ SEED MONEY
_______ SPECIAL PROJECTS (Clinics in Central America & Africa. Ask for
details!)
_______ AS NEEDED
_______ OTHER. PLEASE SPECIFY_____________
NOTE: A RECEIPT WILL BE SENT IMMEDIATELY.
Name:____________________________________
Address:__________________________________
City:_____________________________________
State:___________
Zip:_____________
Phone:___________________________________
Fax:_____________________________________
Email:____________________________________
FUND RAISER. I WOULD LIKE TO CO-ORDINATE MY OWN CREATIVE" FUND RAISING PROJECT FOR
I.C.M.F. VIA OTHER DONATIONS -
PLEASE SPECIFY:__________________________________
PERSONAL NOTE: __________________________________________
Are you shopping for a special person in your life:?
Be sure to visit our Fundraising Store: Agape Treasures
All proceeds from Agape Treasures purchases will be your *secure* direct
deposit contribution into ICMF's bank account.
Donate with any major credit card through PayPal!
It's SECURE, FAST and FREE
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