COMMUNITY CHILDREN'S MUSEUM Pledge Form

I/we wish to pledge a total of $ ___________ over a ______ year period.

Initial payment (10%) $ _____________ (optional)

Pledge balance $ _____________

Payable: _____ Annually _____ Semi-Annually

_____ Quarterly _____ Monthly

Other: ___________________________________________

Payments to begin ___________________ (month/year)

I/we wish to reserve the following naming opportunity:

_____________________________________________

Signature: _____________________________________________

Signature: _____________________________________________

Address_______________________________________________

Date: ___________

Community Children's Museum
P.O. Box 1563
Morristown, NJ 07962-1563