Manhattan  Catholic Schools PLEDGE FORM                   ( Pledge Home) Name_______________________________________________________ Address_____________________________________________________ City/State/Zip_________________________________________________ Business____________________________________________________ Phone  _________________ (Home) _________________ (Business) E-Mail Address ______________________________________ Type of Gift  (Please  check one) ____ Msgr. Luckey Endowment ____ Annual Fund ____ Other (please describe)________________________ Total  Pledge $__________________ Amount Paid $__________________ (Date of payment: _____________) Balance  Due $__________________ Payments on the Balance Due will be paid  (Please check one) ____________   Monthly  ____________ Quarterly  ____________ Semi-Annually ____________ Annually  (Number of Years _____) Payments to begin _____________ (date) Payments to end  _____________ (date)   If gift  is not cash, please indicate type of gift being pledged: ______________________________________________________________ ______________________________________________________________ Donor  Signature_________________________________________ Date ____________________ Note:  Donor names will be included in the Monsignor Luckey Endowment Fund annual  report.  Please initial here if you do NOT wish your name to be included in the annual report. ____ Please Mail or Fax form to:   Manhattan  Catholic Schools, 306 South Juliette Avenue, Manhattan, KS  66502 Fax:   (785) 565-5055   If you have any questions about the Monsignor Luckey Endowment Fund or this form, please call the Manhattan Catholic Schools Director of Development at  (785) 565-5060 or email at development@mcscardinals.org .

           January 5, 2006
Maintained by kthomas@mcscardinals.org