Capital Campaign Pledge Form - Regional Food Bank of Northeastern New York

I would like to pledge the following amount to support the Food Bank of the Hudson Valley’s Capital Improvement Project.

Gifts of cash or securities may be remitted in full or extended over a three year period.

What is the amount you would like to donate, in dollars?*
Desired method of payment*
- Check
- Securities (please call Regional Food Bank at 518-786-3691 to discuss gifts of security)
- Credit Card
Name:*
First Last
Address:*
Street Address Address Line 2 City State ZIP Code
Email:*
Phone:*
I would like to pay over:*
Please send reminder notices:*
- Annually
- Semi-Annually
Checking here acts as your electronic signature*
- I understand
Additional Notes