top of page
About Us
Board Members
Financial Accountability
Our Impact
Programs & Partners
Get Involved
Volunteer
Campaign Pledge Form
News & Resources
FAQ
More
Use tab to navigate through the menu items.
Donate Now
2023-24 Campaign Pledge Form
Email
Employer Name
Avera
BankWest
Delta Dental
First National Bank
Pierre School District
State of South Dakota
Other
Other
First name
Last name
Employee Number (Enter 0 if you do not have one)
Street Address
Street Address Line 2
City
Region/State/Province
Postal / Zip code
Country
Country
Primary Phone Number
I would like to pledge a total of $ for the 2023-2024 Campaign:
I would like to fulfill my plege:
As a one time payroll deduction
Via payroll deduction over 24 pay periods
As a one time check/cash gift. (Send to P.O. Box 1111 Pierre, SD 57501
As a one time credit card payment
Please select any/all that appy:
CHAMP giver (donating at least one hour of pay each month
Evergreen Giver (I'd like my gift to renew annually)
LEADERSHIP Giver of $500+
LEADERSHIP Giver of $1000+
None of the above
For LEADERSHIP Giving, please combine with my spouse (List Spouse and Employer Name)
I wish my gift to be anonymous ( Please note: If you choose this option, you will not show up on any listings, even if you are a CHAMP or LEADERSHIP Giver)
No
Yes
I would like a thank you to be sent via
Mail
Email
No Thank You Needed
Please enter your full first and last name to virtually verify your signature.
Submit
Thank you!
bottom of page
