WCC Pledge Form
Washington Chiropractic College 200 SW 41st St., #201 Renton, WA 98057
CONTRIBUTOR INFORMATION WASHINGTON CHIROPRACTIC COLLEGE
Name: ______________________________________________ Phone Number: _______________________________ Billing Address: _______________________________________ City: ______________ State: _______ ZIP: ________ Email: ______________________________________________ Office Name: _________________________________
DONATIONS Founder’s
.
- $33,000 Founder’s Club is limited to 33 DCs.
Please write the name of the Founder as you would like it recognized: ____________________________________ Pioneers
- Limited to all donations receive prior to the start of the first class.
. Please write the name of the Pioneer as you would like it recognized: _____________________________________ Platinum $10,000
Gold $5,000 . Silver $1,000 METHOD OF PAYMENT
CHECK: Please make payable to “Washington Chiropractic College” and mail to the above address. CREDIT: Card Type: Visa
Mastercard
. .
WIRE: American Express
If you check this box, one of our team members will follow up with you with wiring . instructions. Please let us know whether you prefer a call in the: AM
Payments must be received before the end of the year to be eligible for deduction in that year. There is no minimum contribution amount.
Ple x us Discover .
Card Number:______________________________ Expiration: _____________ ZIP: _______ Name on Credit Card: ___________________________________________________________
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Contributions to Washington Chiropractic College are deemed charitable under Section 501(c)(3) and a tax deductible receipt will be provided to you following your donation.
F e b/Mar c h 2023 25 Bronze up to $999
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