HOME OF THE BRAVES 2023 PLEDGE FORM

DONOR INFORMATION

Donor Name(s) ________________________________________________________________

BillingAddress ________________________________________________________

City, State, Zip ________________________________________________________

Phone | Email ________________________________________________________

PLEDGE INFORMATION

I (we) pledge a total of: $_________________________________________________________

Payment Terms: ☐ Pay in full ☐ Payable over multiple years* (check one): ☐ 2 ☐ 3

*Gifts payable over multiple years must be a minimum $5,000 and complete by December 31, 2025

For multi-year gifts, please provide your first payment date: _______________________________________________

Please send me (us) a payment reminder each year of our pledge in (month): ________________________________

I (we) plan to make this contribution by: ☐ Check ☐ Credit Card ☐ Stock* ☐ Other: _____________________ *For	gifts	of	stock	and	wire	transfers,	please	contact	Lori	Klinedinst	at	(513)	272-5932	or lori.klinedinst@indianhillschools.org Heirs and Assigns: This Agreement shall inure to the benefit of and be binding upon both parties, and their respective heirs, personal representatives, successors and assigns.

For credit card contributions, please provide the following:

Name on Card: ___________________________________ Card Type: ________________________________ Credit Card Number: _______________________________ Exp. Date | CVV: ___________________________ Authorized Signature: ______________________________

My gift will be matched by (company/foundation): _______________________________________________________ ☐ form enclosed ☐ form will be forwarded via mail or email

ACKNOWLEDGMENT INFORMATION

☐ Please publicly acknowledge this gift. Print name(s) below as you wish to appear in donor recognition materials. ____________________________________________________________________________________

☐ Please do not recognize this gift publicly. I (we) wish for the gift to remain anonymous.

☐ This gift is (circle one) in honor of / in memory of: __________________________________________________________

Signature	________________________________________________________ Date_________ Please make gifts payable to: Indian Hill Foundation
Mail form to: Indian Hill Foundation 6855 Drake Road, Cincinnati, OH 45243

All gifts are tax deductible as allowed by law Tax ID Number: 31-1813923