Pledge Card

When sending a contribution to the Family Life Council. Please print this form and complete it so that we may accurately record your generous gift and send you a receipt.

Name: _______________________________________________________

Business/Organization Name: ______________________________________

Mailing Address: _______________________________________________

City __________________________ State ______________ Zip _________

Telephone _________________________Fax_______________________

E-mail ______________________________________________________

I/We support the Family Life Council's programs and services with a gift/pledge of the following amount:

Gold Benefactor

$1,000 and above

$________________

Silver Benefactor

$500 and above

$________________

Benefactor

$250 and above

$________________

Patron

$100 and above

$________________

Friend

$50 and above

$________________
Other   $________________

Amount enclosed: $ ___________________

Balance: ___________________ $ Please send me an invoice.

You may also phone credit card donations to (336) 333-6890 ext. 231.

Gifts are tax-deductible to the extent provided by law.

Please make checks payable to the Family Life Council and return to:  

Family Life Council
301 E. Washington Street, Suite 204
Greensboro, NC 27401

The Family Life Council is dedicated to preparing individuals to establish healthy relationships with their families and community by providing accessible, high-quality and diverse programs, resources and advocacy for today's families, educators and community
Contact our office with any questions at 333-6890 ext. 221 or by emailing info@flcgso.com.

Revised 11-15-05

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Family Life Council. 
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