Better Vision. Better Hearing. Better Georgia.

Capital Campaign Pledge

Yes, I want to make a pledge to the Georgia Lions Lighthouse Foundation's Capital Campaign. If you would like to make a donation toward the capital campaign rather than a pledge, please see our Donate Online page.

Donor Information

Name:

Name as I (we) wish it to appear for donor recognition:

Street Address:

City:

State:

Zip Code:

Phone Number:

E-mail Address

Date:

(Please note permanent recogntion on our donor wall starts at a total gift/pledge of $2,500.)

I (we) hereby pledge to the Georgia Lions Lighthouse Foundation:

A gift of:

Over ____ years:

beginning (M/Y):

according to the following terms/schedule:

MonthlyQuarterlyAnnually

If applicable:

This gift will be in the form of stock or appreciated assets: (estimated value) $

My gift will be matched by:

Please contact me regarding named gift opportunities over $20,000

YesNo

I (we) would consider making a planned gift to the Georgia Lions Lighthouse Foundation in the form of a:

Gift of life insuranceGift of property or tangible assetOther

To make an in-kind donation of equipment, please contact Michelle Han at 404-325-3630 x 322 or mhan@lionslighthouse.org.