GNEE

Pledge Form
Grinnell-Newburg Educational Excellence
(Please print this form, fill it out, and mail it to the address below.)

Name (Last, First, Middle Initial)

Address (City, State, Zip)

Phone and Email

$ Amount Pledged

To be paid: (circle one) by enclosed check (or) over ____ years (reminders will be sent)
Are you a new supporter: (circle one) YES or NO
Are you a Grinnell-Newburg alumna or alumus: (circle one) YES or NO

Signature and Date

Please return this signed pledge form to:
GNEE
P.O. Box 344
Grinnell, IA 50112

All gifts are fully tax-deductible.
THANK YOU FOR YOUR SUPPORT!