PLEDGE FORM                                      www.coepfoundation.org

 

 DONOR INFORMATION:

 

 

Name:    

Address:

 City:   State:      ZIP Code:

Branch, Year of graduation from COEP

Telephone (Home):   Telephone (Business):

Email:

 

 PLEDGE INFORMATION:

 

 I (we) pledge a total of $_ ___, to be paid:


__
now, __ monthly, __ quarterly, __ yearly under one of the following programs:

1.  _ __ Dollar a Day ($350)

2.  _ __ Two Dollars a Day ($700)

3.  _ __  Three Dollars a Day ($1000)

 

 

 Gift will be matched by (company/family/foundation/other).

 

 

 Acknowledgement information: Please use the following name in all acknowledgements

 

 __ ___ I (we) wish to remain anonymous

 

Choose your project

 

 

 

  Comments

 

 

Please make checks, corporate matches or other gifts payable to

“COEP Charitable Foundation”

Mail the check to:

Sandeep Johri,

12760 Camino Medio Lane,

Los Altos Hills,

CA 94022                                                    

 

Click to donate online (< $100)