POWDER RIVER COMMUNITY ENDOWMENT PLEDGE FORM

 

I/We,_____________________________ hereby pledge to the POWDER RIVER COMMUNITY ENDOWMENT $______________. This pledge will be paid in the following manner.

________ Lump sum on ___________, 20__

________ Monthly in the amount of $__________ beginning on ___________ for

___________ months.

________ Annually in the amount of $__________ beginning on____________ for

___________ years.

________ Other (please describe how you wish to pay your pledged sum if other than lump sum, monthly or annually.)

Signed this ______________ day of ___________, 20__

 

________________________________

 

________________________________

Please print and fill this Pledge form out and and fax to (406)436-2922

or mail to:

Powder River Community Endowment Fund

P.O. Box 629

Broadus, MT 59317

or e-mail us at pipelinesplus@rangeweb.net

Return to the Table of Contents