Temple Israel - Bay City Michigan

GIFT PLEDGE

In consideration of the gifts of others, and the matching gift offer of the Jack and Alice Wirt Family Foundation to make a gift matching this gift pledge, to the endowment fund of the Bay City Jewish Community Association (aka Temple Israel), hereinafter the "Donee", I/we hereby make a gift to the Donee's endowment fund in the amount of:

* $ (Total Pledge)

I/we elect to fulfill this gift commitment on the following terms:

Payment of: $ * One Time Quarterly Monthly Other/See Below

For 1 year beginning on , 2009, and final payment on , 2009
(note: to qualify for matching grant, final payment must be on or before December 1, 2009).

Or payment schedule as follows:

* I will mail my check(s) to Temple Israel, 2300 Center, Bay City MI 48708
* Please send me a bill

For your information, the Jack and Alice Wirt Foundation matching gift provides that it will match all gift pledges PAID by Members and Friends of Temple Israel, by December 1,2009. in a total amount not to exceed Fifty Thousand ($50,000.00). We request your assistance in clearly stating in your pledge, the total amount of your pledge, and when your payments will be made.

* Name(s):

* Address:

* City: State: Zip:

Phone(s):

*Email address:

*This donation is: in Honor of, or in Memory of:
Neither

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