ENDOWMENT GIFT and ENDOWMENT SOCIETY
MEMBERSHIP FORM

□ Yes! I’d like to join the Endowment Society. Permanent membership is granted to donors with 5 or more years of endowment giving OR single gifts of $10,000 or more. To get started, make a pledge today!


My gift for the Trinity Rep endowment fund will be paid on the following schedule:

FY2018 / FY2019 / FY2020 / FY2021 / FY2022
(due by 6/30/18) / (due by 6/30/19) / (due by 6/30/20) / (due by 6/30/21) / (due by 6/30/22)
Per Year /
TOTAL PLEDGE

I would like to be reminded to make my pledge payment: o Annually o Semi-Annually o Quarterly

Payment Information:

£  I will make my first gift online (don’t forget to click Endowment in the Destination box).

£  My first check payment will be mailed in by ______(date).

£  Arrangements are being made to contribute securities to Trinity Rep. I will call you with details.

£  My employer will provide a matching gift. I’ll submit the form shortly.

£  Please charge $ for my FY pledge to my VISA / MC / Amex / Discover.

Name on Card

Card # Exp. Date CSC

£  Please charge the entire amount of my pledge on or after ______(date).

£  I’d like to schedule automatic credit card payments. Please charge my credit card in installments of $ to be charged on the first business day of each (select one) month/quarter.

Credit Card Type: Visa Mastercard Discover American Express

Credit Card Number: ______Expiration Date:______3-Digit Code:______

Name as it appears on the card: ______

For recognition purposes, please list donor name(s) as:


Signature(s) Date

Name(s)

Address

Phone (daytime) (evening) E-Mail

Thank you for your support! Please return this form to Trinity Repertory Company, 201 Washington Street, Providence, RI 02903, and retain a copy for your records. Or fax to (401) 751-5577.

Trinity Repertory Company is a Rhode Island not-for-profit corporation, Tax ID # 22-2547262.
Gifts are tax-deductible to the extent allowed by law. Endowment gifts are recognized in our program/magazine.

updated 10/2017