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The Campaign for Webb Institute
Online Pledge Form

 
To support the Campaign for Webb Institute, I/we hereby pledge the sum of   to be paid within
3 years
4 years
5 years

I/we prefer to contribute in installments starting:

Month   Day   Year  
   

in this interval:
quarterly
semi-annually
annually

 
First Name:
Last Name:

If you make your pledge and your donation at the same time, your donation will be considered the first payment on your pledge. If you want to make the first payment on this pledge online, please also fill out the information below and submit the form. You will be redirected to a secure page where you may fill in your credit card information. If you wish solely to make a pledge, please click the "Pledge Only" button now. Thank you for your interest in Webb Institute.

   
 
Address:
City:
Billing State:
Billing Country:
Billing Zip:
Billing Phone:
Billing Email:
 
  Amount Item Subtotal
Capital Campaign Donation: $  
 
Total Donation:  
 
           

Once you click the Donate button you will be taken to a web page where you will be asked to enter your credit card information. Any amounts and time intervals you might enter for the pledge will appear in the comments field of that page.

 
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Webb Institute · 298 Crescent Beach Road · Glen Cove NY 11542-1398 · 516-671-2213