Pledge Form 

Bay Area Inclusion
PO Box 6604
Mobile, AL 36660
Ph 251.471.3460
www.bayareainclusion.org

I, ____________________________________
(please print your name clearly) 
do hereby make a pledge of three annual installments of $_______________(yr1), $_____________(yr 2), and $_______________(yr 3) to support the Bay Area Inclusion community center.

BAI is a non-profit organization under 501(c3).

_________________________________
(signature & date)

Please tell us how we may contact you:

Phone: (_____)_____-__________
eMail:_______________________
Mailing Address______________________
City________________ State_____________
Zip________________