The Caduceus Society
Yes! I want to help become a charter member of
St. Mary's of Michigan's Caduceus Society. I pledge the following:
q$100,000 single gift or $10,000 a year for 10 years
q$50,000 single gift or $5,000 a year for 10 years
q$25,000 single gift or $5,000 a year for 5 years
q$10,000 single gift or $2,000 a year for 5 years
Name __________________________________________________________________
Address _______________________________________________ City_____________
Zip Code___________Phone____________E-Mail_______________________________
I prefer to pay my yearly pledge by one the following methods:
oCredit Card
oCheck
Checks made payable to St. Mary's of Michigan Foundation.
C
redit
C
ard
i
nformation
:
oVISA
oMasterCard
oDiscover
oAmerican Express
Account Number __________________________________________ Exp. Date_______
Name as it appears on card_______________________Signature___________________
P
ledge
i
nformation
:
Equal installments to be paid:
oAnnually o Semi-annually oQuarterly
First payment to be made by:
Month___________________
St. Mary's of Michigan Foundation
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800 S. Washington Avenue
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Saginaw, Michigan 48601
Phone: (989) 907-8300
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Fax: (989) 907-8737