The Sapphire Circle Pledge Form I pledge the following amount per year for 3 years:* * Midnight Level: $1,000/Year or $83.33/Month Indigo Level: $2,500/Year or $208.33/Month Cobalt Level: $5,000/Year or $416.66/Month Royal Level: $10,000/Year or $833.33/Month Optional Other Level: *Pledge level must be be above $1,000 Preferred Payment Method * Checkings Credit Card Donor Advised Fund Unsure I'd like to set up payments: Annually Monthly Quarterly My employer will match all gifts (please add employer name) Member's Desired Listed Name * If you wish to be anonymous, please make a note of that below. First Name Last Name Phone * (###) ### #### Email * Would you like us to contact you via email or phone? Email Phone Other Info to Include Ex: Donation in Honor Of... Thank you!