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The Campaign for Riverdale Neighborhood House:

Ensuring our Future 

PLEDGE FORM

 

I/We hereby pledge $ ________ (__________________ Dollars) to Riverdale Neighborhood House, to be paid as follows:

 

a)      Lump sum

b)      Annual installments to be paid over  ____  years as follows:

 

 

 

Please list my name as follows (for recognition purposes)

 

_____________________________________________________________________________________________
 
 

 

First Signature: ______________________________ Date: ______________

 

Name (Printed):_____________________________________________________

Second Signature: ____________________________Date: _____________

 

Name (Printed):_____________________________________________________

 

Address:___________________________________________________________

 

On behalf of the Board, the Staff and the participants of Riverdale Neighborhood House, please accept our heartfelt thanks.

 

 

Please return this form to:          Mr. Daniel Eudene, Executive Director

                                                Riverdale Neighborhood House

                                                5521 Mosholu Avenue

                                                Bronx, New York 10471