Please print and mail this form to Benedictine Life Foundation.

I WANT TO SUPPORT THE ENVIRONMENTAL ENDOWMENT FOR BENEDICTINE WOMEN OF MADISON.
(check appropriate box)

[  ] AcreMaker :: cumulative donations of $5,000 or more

[  ] AcreBuilder :: pledged donations toward the $5,000 AcreMaker level

[  ] Supporter :: one-time gift or pledge

Please find enclosed by check for $__________________
Make check payable to Benedictine Life Foundation

I would like the remaining balance of the pledge to be fulfilled on the following payment schedule:
[  ] Monthly      [  ] Quarterly      [  ] Semi-annually      [  ] Annually

The remaining balance will be paid over:
[  ] 1 year      [  ] 2 years      [  ] 3 years      [  ] 4 years      [  ] 5 years


Name ____________________________________________________________

Street ___________________________________________________________

City ______________________________ State ____ Zip __________________

Day phone _______________________ Evening phone ____________________

Email ____________________________________________________________

Signature ______________________________________   Date ____________

I wish my gift to be in memory/honor of:

_________________________________________________________________

Mail to:
Benedictine Life Foundation
PO Box 5070 • Madison, WI 53705-0070

<--Go back