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Our Savior Lutheran School
Improvement
Gift/Pledge Form

 I/We, ____________________________, pledge a total of $ __________ to help fund the improvements of Our Savior Lutheran School.  This pledge along with other gifts and pledges will enable the school to move forward with these improvements.

Fulfillment:

We will fulfill our pledge as indicated below.

____One-time payment (specify date): __________________

____Check (please make payable to Our Savior Lutheran School).

____Credit card (Visa/MasterCard/Amex/Discover - circle one)

Account name: ___________________________________________________________________________

Account no.: _____________________________________________________________________________
Expiration date: ________________    Security Code: ______ (found on back of your card)

Signature: _______________________________________________________________________________
Date: _____________________

Gift Acknowledgement:

____Public acknowledgement, such as listing my/our name in an annual report and on a plaque, is acceptable.

____I wish to remain anonymous.

 

Name Opportunity:

____I am interested in the following naming opportunity NAMING OPPORTUNITIES here>>:

_________________________________________________________________________________________

Pavers will have the last name of the donor/family only. Other naming opportunities can include a brief tribute/statement OR honor/memorial designation.

____This gift is in honor/memory (circle one) of __________________________________________________________________________________________

____Tribute:_______________________________________________________________________________

Commitment:

Signature(s)________________________________________________________________________________
Date:__________

Name(s) (please print):_______________________________________________________________________

Address:___________________________________________________________________________________

Telephone:_______________________________Email:_____________________________________________

Contact Development Director for additional assistance: Mrs. Ulm (808) 488-0000 ext 246 or (808)722-0024 cell

Thank you for your support of Our Savior Lutheran School!
OSLS is a 501(c)(3) organization; federal tax ID#99-0142627
All contributions are tax deductible to the extent allowed by law.
No goods or services were received in exchange for this donation.