Please fill out and submit the below form: Information with * is required to process your donation. Gift Information Make my contribution... - None -In Memory ofIn Honor ofIn Memory of Christy D'Camera List the name(s) of so honored person or persons below Gift Type * Gift Pledge Payment Gift Amount Frequency One Time Recurring (Monthly) (max: 12 months) Amount * $ Dollar amount above is equal to monthly installments. Your first payment will be charged/debited today, and future payments will be charged/debited mid-month the following month. The transaction will be conducted immediately and will appear on your credit card statement in the name of The St. Anne's School of Annapolis. The installment amount and number of payments should establish completion of gift between today and June 30. Installment Amount/Monthly Payment $ Number of Payments - None -0123456789101112 Total Gift $ If you would like to make arrangements for a payment plan other than monthly installments, please contact the Advancement Coordinator at 410.263.8650. Pledge Amount $ Personal Information First Name * Last Name * Address * City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip/Postal Code * Phone Number * Email Address * Employee Matching GiftsMany companies match contributions to independent schools from employees or employees' spouses. Contact your personnel office for a matching gift form and help St. Anne's School receive double or even triple the amount of your gift. Amount of Match $ Name of your/spouse's corporation Please mail your company's matching gift form to: 3112 Arundel on the Bay Road, Annapolis, MD 21403 EIN number is 52-1186325 Relationship Information News you'd like to share with us (about you or your family) DiamondMind Total: Issuer Credit card number Secure code Month 010203040506070809101112 Year 202220232024202520262027202820292030 Acknowledgment I would like my gift to remain anonymous.