Richland Kiwanis Foundation 2013-2016 Pledge Form

I (we) the undersigned wish to be a part of the Campaign to grow the Scholarship Endowment Fund of the Richland Kiwanis Foundation by an additional $100,000 over the three year period April 2013 thru March 2016.  To that end we pledge to donate the following: 

Note: You may want to see your attorney or financial advisor to address your personal situation.
  1. Cash or securities
      • $ ______________  April 1, 2013 to December 31, 2013
      • $ ______________  January 1, 2014 to December 31, 2014
      • $ ______________  January 1, 2015 to December 31, 2015
      • $ ______________  January 1, 2016 to March 31, 2016
         For security transfers you should contact your personal broker 
         or Jeff Seitz, Integrity Investments, (509) 946-1800.

    2.  Life insurance
      • $ ______________ 
    3.  IRA or IRA distribution
      • $ ______________ 
    4.  Will or Trust
      • $ ______________       
         For life insurance, IRA or IRA distributions, and wills or trusts should contact 
         your personal attorney or Leslie Smith, Elder Law Solutions, (509) 946-3010.

Additional comments:  ____________________________________________________

______________________________________________________________________


Signed:  _______________________,   _______________________  Date:  _________

Name(s):  ______________________________________________________________
                  (Please print)

Thank you for you gift.  It will continue year after year to help leave a legacy of caring.

Please print and return this form to: Richland Kiwanis Foundation
                                                               P.O. Box 1622
                                                               Richland, WA 99352