CLAYTON CHILD CENTER/CLAYTON ACADEMY
ANNUAL FUND PLEDGE/GIFT FORM
YES! I/we would like to make a gift to Clayton Child Center/Clayton Academy.
I/we would like to join the:
____ Leadership Circle ($1,000 and above)
____ Friends Circle (up to $999)
____ Enclosed is my donation of $ ______________
____ I wish to pledge $ __________ payable by August 31, 2008.
____ My employer has a matching fund program. (please enclosed appropriate forms.
____ I have included Clayton Child Center/Clayton Academy in my estate plans.
____ I/we do/do not wish to be listed in the Annual Fund Report (circle one).
Name___________________________________________________________________
Address_________________________________________________________________
City, State, Zip___________________________________________________________
____ I/we have enclosed a check payable to Clayton Child Center, Inc.
____ Please charge my credit card: (circle one) MC VISA DISCOVER
________________________________ ______________________________
Cardholders Name Signature
________________________________ ______________________________
Card Number (plus 3 digit security code) Exp. Date
Clayton Child Center, Inc. is a 501(c)3 charitable organization.
All gifts are tax-deductible.
Thank you for your support!