Donor Name definition

Donor Name. Signature: Donor Address: Date: Donor Email address: Donor Tel. # Note: The Back-Office of your Financial Institution must initiate this transaction by transferring the shares to our Broker.

Donor Name. Mailing Address: Phone: Email: Offering Envelope # (if you are setup with a number currently): I HEREBY AUTHORIZE THE TOTAL DONATION AMOUNT BELOW TO BE DEBITED (WITHDRAWN) FROM MY BANK ACCOUNT EACH MONTH ON THE DATE SELECTED BELOW. (Please attach a VOID cheque or a PAD form.) Total Donation Amount: $ which I would like to allocate or divide accordingly: To the General Fund: $ To the Approved Project: Building Fund $ To the Approved Project: Refugee Project $ To Be Withdrawn On: [ ] the 1st of each month or [ ] the 16th of each month (Note: If you would like to donate on both dates, please complete a separate form for each date.) I understand and accept the following: • My bank account will be debited on the stated date, or on the next business day, until such time as I cancel or modify this authorization. • I may revoke or modify my authorization at any time by providing written or email notice to Bethel Church at the address below, no less than 30 days prior to the date of withdrawal, using the form available from the church office or website. • I have certain recourse rights if any debit does not comply with this agreement. For example, I have the right to receive reimbursement for any debit that is not authorized or is not consistent with this Agreement. To obtain more information on my recourse rights, I may contact my financial institution or visit xxx.xxxxxx.xx • Should a payment be returned to Bethel as NSF, I will be debited the amount of the NSF charge. Xxxxxx also reserves the right to summarily cancel any Pre-Authorized Debit Agreement following 3 occurrences of an NSF payment. • Contributions directed toward an Approved Project will be used for that Project with the understanding that when the need for the Project has been met, or cannot be completed for any reason as determined by Bethel Church, the remaining donations will be used where most needed. FOR OFFICE USE ONLY DONOR P.A.D. NUMBER: DONOR ENVELOPE NUMBER: DATE SETUP: SETUP BY: Donor Signature: Date: Any questions?

Donor Name. Address: Email: City: State: ZIP: Phone: Signature of Donor: Received for TSLA by: Date: Released to: Date:

Examples of Donor Name in a sentence

• The Date the funds were transferred: Donor Signature Date Donor Name (Print or Type) Donor Address ( )Donor Phone NumberBorrower Signature Borrower Signature WARNING: Our signatures above indicate that we fully understand that it is a Federal Crime punishable by fine, imprisonment, or both to knowingly make any false statement concerning any of the above facts as applicable under the provision of Title 18, United States Code, Section 1012 and 1014.

• Donor Name: (son, daughter, or ward): Print Name Parent/Guardian Name: Print Name Parent/Guardian Signature: Signature Today’s Date (mm/dd/yyyy) Optional Parent/Guardian Phone Number: Where you can be reached on day of donation For American Red Cross Use Only WBN/DINInformation for ParentsThank you for allowing your son, daughter, or ward to donate the gift of life.

• A year after the decision in Leonardis, the New Jersey Legislature adopted the New Jersey Code of Criminal Justice, which established a program for supervisory treatment which was substantially the same as the pretrial diversion program reviewed in Leonardis, but which provided for judicial review of prosecutorial decisions refusing to consent to enrollment of criminal defendants in a pretrial diversion program.

• There are market risks with respect to any investment and there can be no assurance against risk of loss.Kindly indicate below your acceptance of this gift and of the foregoing terms and conditions.Very truly yours, (Insert Donor Name) Date of Birth: (Insert Donor Name) Date of Birth Accepted this day of , 20 .

• SIGNED: Date: Donor Name, Donor Donor Name, Donor ACCEPTED: Date: Xxxx Xxxxx President and Chief Executive Officer Richmond Community Foundation Date: Addendum A Advisors to the Fund An Advisor is a person currently authorized to recommend grants from the above- established Fund.

More Definitions of Donor Name

Donor Name. (As you would like it printed on promotional materials) Company Representative’s Name: (If applicable) Printed Title Phone Email Name: Address: City: State: Zip: Phone: Email: Total Amount Pledged: $ Payment Options: □ Payment plans are available. Please call me for more information. □ Check # (Made payable to Theatre Arlington, mail to 000 X. Xxxx Xxxxxx, Xxxxxxxxx, XX 76010) □ VENMO: @Theatre-Arlington □ Visa □ MC □ AMEX □ Disc Card # Exp. V-Code Billing Address: City: State: Zip: I agree to the foregoing pledge in support of Theatre Arlington’s Renovation Project with all payments on this pledge to be fulfilled by December 31, 2023. Donor Signature: Theatre Arlington Representative: Signature: Date: Signature: Date: 817.261.9628, ext. 206 xxxxx@xxxxxxxxxxxxxxxx.xxx Renovation Project Naming Opportunities $250,000 – Education Building $25,000 – Catering $100,000 – Theatre Lobby $15,000 – Scene Sh $75,000 – TA Board Room $15,000 – Dressing $50,000 – Rehearsal Hall $10,000 – Equity Dr $50,000 – Auditorium / Seating $5,000 – Tech Booth $25,000 – Box Office $1,000 - $5,000 – T $25,000 – Concessions / Bar $500 – Theatre Seat $25,000 - Classrooms $250 – Theatre Seat Kitchen op Rooms essing Room A Star Wall / Tier 1

Donor Name. Company: Address: City: State: _ Zip Code: E-Mail: _ Phone: Donor Signature: _ Date: Donation Amount I/We wish to make the following donation to the Talent Incubator Project: $ Donation Allocation ❑ I/We wish this donation to be unrestricted in support of the Foundation’s greatest need, or ❑ I/We wish to designate this donation to a specific initiative: Donation Type I/We will fulfill this donation with (select your preferred option below): ❒ A one-time gift, or ❒ Annual payments of $ over a period of 1 2 3 4 5 years (circle one), starting on (add date) and due on that date each successive year. Payment Information • Please make your check payable to ICSC Foundation and send to the address below. • Donations can be made online via ICSC's secure website by clicking here. • Please call Xxx for more information about making your donation by credit card, EFT or wire transfer. Donor Recognition

Donor Name. Address: Email: Phone Number: (circle one: cellphone or landline) Signature: This donation is made on behalf of: (please circle one) an Individual or a Business. DONOR FINANCIAL INSTITUTION/BANKING INFORMATION (Please type or print clearly or attach a void cheque) Branch Number Institution # Account Number Name of Financial Institution: Branch: Branch Address: City/Province: Return to: nightlight Canada, c/o 000 Xxxxxxxxx Xxxx, Xxxxxxxx, XX X0X 0X0 Xxx Xxxxx: xxxxxxxx@xxxxxxxxxxxxxxxx.xxx | 343-363-0508 Xxxxx Xxxxxx: xxxxxxx@xxxxxxxxxxxxxxxx.xxx | 343-363-0508 Postal Code I have certain recourse rights if any debit does not comply with this agreement. For example, I have the right to be reimbursed for any debit that is not authorized or is not consistent with this PAD Agreement. More information on rights are available at your financial institution or xxx.xxxxxx.xx

Donor Name. Address/Contact Information: Telephone: Email: This donation is made on behalf of: an individual

Donor Name. Contribution Amount: $ AHA Cause and/or Event(s): Cotes du Coeur Date(s) of AHA Activity/Event(s): 05/04/2019 AHA Obligations To Donor: (if applicable, summarize or provide attachment) Payment Due Date (Donor to complete prior to signing): Payments to be made according to the schedule below: 1) each payment must be at least $1,000; and 2) no more than 4 installments. Due Date(s): Amount Payable on Due Date 1. 03/20/2019 $ 2. $ 3. $

Donor Name. Company: Address: City: State: _ Zip Code: E-Mail: _ Phone: Donor Signature: _ Date: Donation Amount I/We wish to make the following donation to the Talent Incubator Project: $ ❑

Donor Name. Address: City & Province: Postal Code: This donation is made on behalf of check one). an Individual a Business to Reapers in the Rain (please I may revoke my authorization at any time, subject to providing notice of 15 days prior to actual date of transmissions of EFT file to Royal bank of Canada (RBC). To obtain a sample cancellation form, or for more information on my rights to cancel a PAD Agreement, I may contact my financial institution or visit xxx.xxxxxx.xx. I have certain recourse rights if any debit does not comply with this agreement. For example, I have the right to receive reimbursement for any debit that is not authorized or is not consistent with this PAD Agreement. To obtain more information on my recourse rights, I may contact my financial institution or visit xxx.xxxxxx.xx. Reapers in the Rain Suite 493 00 Xxxx Xxxxxx Xxxx Xxxxxxxxxxx, XX X0X 0X0 Tel: 000-000-0000