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Foundation Letter of Intent
Foundation Letter of Intent
I. This pledge is intended to provide TOTAL GIFT of the amount below to the American Society for Gastrointestinal Endoscopy Foundation in support of the Beyond our Walls: The Future of Endoscopic Education and Practice campaign.
Pledge Payment Plan
Option 1: One Time Payment
Option 2: Multi-Year Pledge
This pledge commitment will be paid according to the following schedule (check one):
Annually
Semi-Annually
Quarterly
Please complete payment schedule chart to ensure reminder notices are sent on time.
2018 1st Qtr
2018 2nd Qtr
2018 3rd Qtr
2018 4th Qtr
2019 1st Qtr
2019 2nd Qtr
2019 3rd Qtr
2019 4th Qtr
2020 1st Qtr
2020 2nd Qtr
2020 3rd Qtr
2020 4th Qtr
2021 1st Qtr
2022 1st Qtr
2021 2nd Qtr
2022 2nd Qtr
2021 3rd Qtr
2022 3rd Qtr
2021 4th Qtr
2022 4th Qtr
Please indicate how you would like your gift to be allocated
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Please indicate how you would prefer your name to be listed for donor recognition purposes:
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