MONTHLY PLEDGE FORM

WE INVITE YOU TO MAKE A MONTHLY PLEDGE

I would like to make a monthly pledge of:

$10_____ $20_____ $50_____ $100_____ Other________

I understand that my donation will help provide food, medical care, clothing, shelter, and schooling to as many needy children as possible.

 
First Name:                                                       Last Name:

Organization/Company:

Address:                                                                                               Apt:

State:                                          City:                                                    Zip:

Country:

Telephone:                                                    Fax:

E-mail:

I am sending check #                            From Bank:

For the amount of: $                                 to cover #:                   month(s) of pledge.
Signature:                                                                                     Date:
Mail your check to: Dennis Martinez Foundation
6915 Red Road, Suite 222
Coral Gables, FL 33143		 TEL: 305-669-1699
FAX: 305-669-0766


All donations made to the Dennis Martinez Foundation are tax-deductible.
Thank you for your kindness and generosity.