Pledge Form – Boys & Girls Club of Southern Illinois

Calling all Superheroes!

PLEDGE COMMITMENT

Fill OUT OUR PLEDGE FORM ONLINE BELOW OR DOWNLOAD THE FORM HERE TO RETURN BY MAIL OR IN PERSON.

**In order to reopen our Blue Doors, we need assurance of financial support from our community. Please indicate your commitment for a one-time donation or reoccurring monthly contribution below. You will be contacted regarding your pledge commitment when our plans to re-open are finalized.**

Prefix

First Name

Last Name

Company

Address

APT

City

State

Zip Code

Phone

Pledge monthly payments or choose a One Time Pledge Amount

Monthly Pledge Amount

Pledge Date

One Time Pledge Amount

As a Superhero you will receive the following partnership benefits:
• Name recognition on our website and social media
• Name recognition on signage at our signature events

*I understand that I am pledging my support monthly for the next three fiscal years or a one-time pledge as soon as our monthly goal has been met.

Digital Acceptance

I authorize payment to the Boys and Girls Club of Southern Illinois.

Calling all Superheroes!

PLEDGE COMMITMENT

Support local youth in our area with the Boys and Girls Club of Southern Illinois

300 East Main Street, Suite 4

Quick Links

Board Members

Make A Difference