Pledge Form

Charitable Pledge

In support of The Clear Water Zen Center, I/we pledge and promise to pay the total sum of $__________ to be paid as follows:

$__________  on __________

$__________  on __________

$__________  on __________

$__________  on __________

$__________  on __________

(We request that pledges be paid within five years.)

This is an unrestricted pledge, and it may be used for any corporate purpose within the mission of the Clear Water Zen Center, as determined by the Board of Trustees of The Clear Water Zen Center, Inc.

I/we understand that The Clear Water Zen Center will rely on this pledge in making commitments for expenditures, borrowings, construction projects and other commitments.

Signed:       _____________________________________    Date: ____________

                  _____________________________________    Date: ____________

Printed name(s):   _____________________________________________________
                             (as you wish it to appear in donor recognition materials)

Address:      _____________________________       Telephone: ______________________

                    _____________________________

                    _____________________________

Thank you for your commitment to The Clear Water Zen Center!

Please return pledge form to: The Clear Water Zen Center, 2476 Nursery Road, Clearwater, FL 33764.
The Center is a 501(c)(3) charitable organization. All donations are tax deductible.