St. George's Episcopal School - Annual Giving Pledge

First Name

Last Name

Phone

Email

Please check all that apply

Current Parent
Current Grandparent
Past Parent
Past Grandparent
Alumnus/Alumna
Faculty/Staff
Friend

Class of (if alumnus/alumna)

PAYMENT INFORMATION

Total Pledge Amount

$10,000 (Knights of St. George)
$5,000 (Chairman's Club)
$2,500 (Benefactor)
$1,500 (Shield of St. George)
$1,067 (Headmaster's Cup (The Gap)
$500 (Sponsors)
Other (enter amount below)

Other Pledge Amount

Payment Type

Check
Credit Card

I wish to pay in installments (optional)

Other installment schedule (optional)

My gift will be matched by the following company (optional)

I wish to be listed anonymously for this gift.