Pledge Form

 

Directions: 

 

Please print this form and mail your contribution to:

 

Upakar

9101 Friars Road

Bethesda, MD 20817

          

·        Enclosed is my contribution to the UPAKAR scholarship program on an annual basis for four years for the amount of $________.

 

·        Enclosed is my contribution of $_________ to the UPAKAR scholarship program for one year.

 

                        Upakar Tax ID Number: #52-2041133

                        Make check payable to:  UPAKAR

 

Name:     __________________________________ 

Address: __________________________________ 

               __________________________________ 

               __________________________________ 

               __________________________________ 

 

Email:      __________________________________

 

 

Note:  Many companies match their employee’s donation to registered non-profit organizations, such as Upakar. If your employer provides for matching donations, attach the company matching contribution form along with any required employment identification. This is an easy way to double your donation

 

Thank you for your support!