PLEDGE CARD

    Full Name:     

    Address, City, State, ZIP:     

     Email Address:     

     Telephone:     

     Pledge Details:

     Enter Pledge Amount:     

     Purpose of Pledge:
    Cremation Certificate (Min. Donation Amount of $2,100)
    Cremation CertificateDonation

    Payment Method:
    Credit CardChecksCash

    Commitment Statement:
    I commit to fulfilling this pledge. I understand and acknowledge the importance of this contribution and will ensure that my Pledge is honored in full.

    Signature:         

    Date:     

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