Pledge Form Donor Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Lake Lot# If mailing address is different from Lake address Phone * (###) ### #### Email * Donation Level * Eagle ($100 - 999) Patriot ($1,000 - 1,999) Legacy ($2,000 - 4,499) Medal of Honor (more than $4,500) Flagpole Sponsor ($4,500) Pledge Amount * $ In Honor of / In Memory of Your Veteran(s) Do Not Publish * Donors will be recognized at their donation level in upcoming Chatter articles and on our website. If you wish your donation to remain anonymous, please check the appropriate box. Do not publish my name and donation level on future communications I give permission for my name and donation LEVEL to be used on future communications Best Way to Contact Me * Please indicate how you would like to be contacted in order to fulfill your pledge. Cell Phone Email Comments Feel free to add comments in here Thank you for your pledge!Someone from our Pledge team will contact you once we are ready to accept donation dollars
