Glaciers Edge Council

Boy

Scouts of America

2016 FRIENDS OF SCOUTING

INVESTMENT IN CHARACTER
COMMUNITY CAMPAIGN
Organization
Contact Name
Address
City

State

Zip

Yes, I will help in the following manner. Check amount and complete form below. THANK YOU!
_____ $1,000 Guardian level
_____ $324 Support two Scouts
_____ $250 Leadership level
_____ $500 Patron level
_____ $162 Support a Scout
_____ $100 Century level
I will pledge $

to continue making a difference in Scouting!

Please select your choice:

_____ Check / Cash enclosed. Check payable to Glaciers Edge Council.
_____
_____
_____
_____

Bill me immediately
Bill me 2X in 2016: Circle billing months below
Bill me 4X in 2016: Circle billing months below
Charge my card: Now
2X
4X
Circle billing months below
(Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov )

MC / Visa # __________ __________ __________ __________ Expires

Signature

Auth. Code
Date

For credit card authorization.

Preferred Phone (

Preferred Email

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

Signature for pledge

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

ANNUAL GIVERS CLUB

offers

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?

Yes

Signature

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