Dress for Success Quad Cities Capital Campaign Pledge Form

If you prefer to download a printed copy of this form, you may do so HERE.

    Thank you for your pledge supporting Dress for Success Quad Cities' capital campaign. Please complete this form to confirm your pledge and establish payment transactions.










    (*Your name(s) will only be displayed publicly if included here, and the box below is checked.)

    Your privacy is important to us. Dress for Success Quad Cities will never sell or share donor information or donor lists to a third-party or other entity.
    Please review and determine your consent to the optional condition. Leaving this box unchecked will omit your name(s) from any public donor lists.

    I agree to allow Dress for Success Quad Cities to include my name in a published donor list online and/or in print collateral (Annual Report).

    Total pledge amount: $
    Payment form: Cash/checkCredit card
    Checks: Pay/mail to: Dress for Success Quad Cities, 423 E. 32nd St., Davenport, IA 52803
    Credit card: Make donations online at dressforsuccessqc.org/capital-campaign/

    Recurring gift amount: $
    I wish to pay:
    Annually. Send me a pledge reminder by email 30 days in advance.Bi-Annually. Send me a pledge reminder by email 30 days in advance.Monthly. I will set up my monthly recurring gift online at the link provided above.

    This form accurately states my/our gift intentions.

    Digital Signature:
    Date:

    Please check this box to be added to our mailing list.

    Your donation to Dress for Success Quad Cities, a 501(c)3 organization, is tax deductible to the extent allowed by law upon payment.