Winterset Fieldhouse Pledge/Donation Form

Contact

Friends of Winterset Parks and Recreation

c/o Ellen Wade or Sky Smothers

124 W. Court Ave, Winterset, IA, 50273

515-462-3258

Name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Outright Contribution

I/We wish to make an outright gift payable to "Friends of Winterset Parks and Recreation" of

I/We want to use Venmo for Electronic Payment of

I/We wish to make a gift of stock/securities valued at

Pledge

I/We wish to pledge a total of

in equal installments of

I/We intend to make payments

semi-annually

annually

First payment no later than December31,2026, with a maximum 5 year term.

Corporate Matching Gifts

My/My spouse/partner's company offers a match for charitable contributions.

Employer's Name

Recognition

Please clearly print name(s) as you would like it to be printed in donor recognitions materials ($1000 or greater will be recognized inside of the Fieldhouse on Donor Wall)

in honor of

in memory of

Confidentiality

Please note, I would like my gift to be confidential and not included on any donor registration materials

Donor signature

Date

THANK YOU FOR YOUR SUPPORT of the WINTERSET FIELDHOUSE! Winterset Friends of Parks and Recreation is a 501(c)(3) non-profit organization. EIN 99-3034038

Requests for donors that their name not be released will be honored.