Glaciers Edge Council

Boy Scouts of America

2016 FRIENDS OF SCOUTING

INVESTMENT IN CHARACTER
COUNCIL EXECUTIVE BOARD CAMPAIGN
First_________ Last________________
Address___________________________
City____________, State____ ZIP_______
Yes, I will help in the following manner. Check amount and complete form below. THANK YOU!
_____ $1,000 Guardian level
_____ $500 Patron level

_____ $324 Support two Scouts

_____ $162 Support a Scout

_____ $250 Leadership level

_____ $100 Century level

I will pledge $

to continue making a difference in Scouting!

Your 2015 Pledge was: $ Your 2014 Pledge was: $

2016 Pledge:

20% over $

10% over $

5% over $

Please select your choice:

_____ Check / Cash enclosed. Check payable to Glaciers Edge Council.
_____ Bill me immediately
_____ Bill me two times in 2016 (January and July)
_____ Bill me four times in 2016 (January, April, July and October)
_____ Charge my card: Now 2X 4X
MC / Visa # __________ __________ __________ __________ Expires
Signature
For credit card authorization.
Preferred Phone (

Auth. Code
Date __________

Preferred Email

@
The Glaciers Edge Council respectfully requests that all pledges be paid by November 30.

Signature for pledge

My company,
I will initiate the donation through the company.

offers matching gifts.

ANNUAL GIVERS CLUB

The Annual Givers Club is comprised of faithful contributors who can be counted on each year for a continuing gift. By checking
yes, you will receive a statement each year as you have indicated. You will receive a confirmation letter early each calendar year
to remind you of this agreement.
CAN WE COUNT ON THIS AS A CONTINUOUS GIFT?
Signature

Yes
Date

Glaciers Edge Council PO Box 14135 Madison, WI 53708-0135