Pledge Form

Make a 3-year pledge and support LIFT WC.
Simply complete the form below and click SUBMIT.

Name(s) providing support:

Total amount of support to provide:

How many years to complete pledge payments (select one below):

Payments will be made in the following installment amounts:

The first payment will be made on:

Address

Phone Number

Email Address

Authorization of charitable gift to LIFT WC

Checking this box indicates that I am authorizing and approve of this charitable donation.