The Annual Fund Pledge Form
	Thank you for your meaningful pledge at one of the following levels: Legacy Circle $25,000 or more Oak Tree Circle $10,000 - $24,999 Patron Circle $5,000 - $9,999 Head's Circle $2,500 - $4,999 Sponsor Circle $1,000 - $2,499 Associate Circle $500 - $999 Honor Circle up to $499   Please plan to fulfill your pledge by April 1, 2012; the Development Office will send pledge reminders.
	Donor Information First Name:* Last Name:* Affiliation Parent Trustee Staff/Faculty Grandparent PAB Friend Alumnus/a Alumni Parent If an alumnus/a - Class of Address 1* Address 2 City* State* ZIP* Phone* Email* Pledge Amount $ Form Total: $0.00 Class of 2012 Legacy Fund I will submit a Matching Gift request from my/my spouse’s employer.