ePhilanthropyFoundation.Org

Jimmie Alford CFRE

ePhilanthropy Scholars Fund

Statement Of Intent To Give

  
Name:__________________________________________________________       
Company:  _________________________________________
Address:_________________________________________
City:  ______________State: __ Zip Code: _______
Telephone #:_____________
Email Address: (so that we might communicate with you electronically) __________________

Gift Details
        
_____I/We hereby pledge my support to the honor the vision and leadership provided by Jimmie Alford in the founding of the ePhilanthropy Foundation. Please notify Jimmie of my gift and share my comments below.

 Dear Jimmie: ___________________________________________________________________________________________
         __________________________________________________________________________________________       
        __________________________________________________________________________________________

         Feel free to attach an additional sheet.
 
I/We wish to make payment on my contribution in the following manner:
 
 _____   Check for  $___________________ is enclosed.
                                 (Please make check payable to the ePhilanthropyFoundation. Org)                          
 
 _____  Through a one time pledge payment on _____________ (before December 31, 2002)
 
 _____  Please send me regular pledge reminders over a period of  _____ months(s) beginning       
                                _____________________ with automatic:     
                                                                                                  _____ quarterly  
                                                                                                  _____ monthly installments of  $_________
 
  _____ Charge to my credit card:        ___VISA     ___ MasterCard     ___ American Express  over a
                               period of  _____ months(s) beginning       
                                _____________________ with automatic:     
                                                                                                  _____ quarterly  
                                                                                                  _____ monthly installments of  $_________
                              Credit Card Number: _____________________          Expiration Date: ___________
                               Name on credit card: ________________________________________________
 
Signature (required):         ______________________________________       Date: ______________
 
_____Please indicate how you would like to be listed in publications and/or public displays in recognition of your gift.
            ____________________________________________________________________________________________

_____ I wish to remain anonymous for purposes of public recognition.
 

If you have any questions, please contact the ePhilanthropy Foundation at:

Contact Us:
Phone: 877-536-1245.
Fax: 202-478-0910
jimmiealford@ephilanthropy.org

 ePhilanthropyFoundation. Org
1101 15^th Street, NW Suite 200
Washington, DC 20005