Pledge Form | Community Shares of Greater Milwaukee

Pledge Form

Extra Pledge Form for Workplace Givers

If you are pledging through a workplace-giving campaign and need an extra Pledge Form, please download an extra Pledge Form and give the completed form to your Campaign Coordinator.

Pledge Form for non-workplace donations

If you wish to donate outside of a workplace campaign, you donate online by clicking here, or you can print this page and mail the completed form to:

Community Shares of Greater Milwaukee
1845 N. Farwell Ave., Suite 102
Milwaukee, WI 53202

SELECT YOUR GIVING PROGRAM: A. Cash (ATTACH) .................... $ ____________
B. Check (Payable to Community Shares of Greater Milwaukee) $ ____________
C. Electronic Funds Transfer Please download Automatic Debit Form
D. Credit Card Card Type (circle one): Visa / MasterCard / Discover Card number ______________________________ Expiration date ________ Amount $ ________
I CHOOSE TO SUPPORT:
[ ] A: Community Shares of Greater Milwaukee Amount $ _________ [ ] B: The following agency(ies)
_____________________________________ AGENCY		$ _______________ AMOUNT

_____________________________________ AGENCY		$ _______________ AMOUNT

_____________________________________ AGENCY		$ _______________ AMOUNT
MY TOTAL DONATION IS: $ ______________
_______________________________________ SIGNATURE			___________ DATE

[ ] No need to send a thank you [ ] Please keep my gift anonymous

__________________________________________________ NAME
____________________________ TELEPHONE (OPTIONAL)		______________________________ E-MAIL (OPTIONAL)
__________________________________________________ ADDRESS
______________ CITY	__________________ STATE		____________ ZIP
Thank You Your contribution funds agencies that promote personal responsibility, environmental progress, and community action to achieve social justice.