Pledge Form

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Your Information
Name:
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Please accept my Roll Call pledge as follows:	Randolph Fairfax Society ($5,000-50,000+) High List ($2,500-4,999) 1839 Society ($1,839-2,499) Pendleton Club ($1,000-1,838) Hill Club ($500-999) Honor Roll ($100-499) Other Amount:
Pledge Information
Pledge: I agree to pay my pledge in full before June 30, 2009.
Please begin mailing me reminders in:
Tribute:
Please list my gift in honor of
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Comments or special instructions:
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