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Pledge form for John & Sally Mielke Early Years Fund for the Fox Valley

Pledge form: John & Sally Mielke Early Years Fund for the Fox Valley

Name of individual or organization

Please provide name as you would want it to appear in any recognition or communications.

Contact person (if organization)

Address

Phone Number

Email Address

In support of the John & Sally Mielke Early Years Fund for the Fox Valley, I/we pledge (minimum for a pledge is $5,000):

for

My first payment will be made:

We will follow up with a payment request. THANK YOU!

4455 W. Lawrence St
Appleton, WI 54914
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8:00am - 11:30am
and noon - 4:00pm
Monday-Friday

Confirmed in compliance with national standards for U.S. community foundations.