Contribute to the Discovery Campaign

 

Discovery Campaign Support Levels

Innovator

$100,000+

  

Leader

$10,000+

Pioneer

$ 50,000+

  

Explorer

$  5,000+

Pacesetter

$ 25,000+

  

Voyager

$  2,500+

Sponsor

Up to $2,499

 

Discovery Campaign Pledge Commitment Form

I wish to make a commitment in support of the goals of the SIR Foundation Capital Campaign. My total pledge is $ ($ per year for years), to be paid on the following schedule:

$ in / (month/year)

$ in / (month/year)

$ in / (month/year)

$ in / (month/year)

$ in / (month/year)

Please send reminder notices in the month(s) of

Special Notes:

Name:

Address:

City, State and Zip Code:

Email address:

Date:

Name(s) you prefer for
gift recognition:

Phone number:

Please check if you wish your gift to be Anonymous:

My employer will match my Campaign commitment:

By checking this box I agree to make contributions to the
SIR Foundation Discovery Campaign as outlined above.

If you would prefer to mail or fax this form, a PDF is available here.

Please make all checks payable to SIR Foundation.

SIR Foundation is a 501(c)(3) organization.
Your gift may be tax-deductible according to IRS regulations.