Odfj Pledge Form-2009

Georgetown University Law Center

Equal Justice Foundation 2009 Spring Fund Drive

One Day for Justice **Graduating Students: You can designate your class gift to EJF and earn credit for yourself and your section in the Graduating Class Gift.

EJF asks students to consider pledging One Day of their full summer salary. If your salary is One Day is $3,100 per week $620 $2,700 per week $540 $1,500 per week $300 RA hourly rate: $15/hr $120 PLEASE PRINT LEGIBLY: DATE:

GRADUATION YEAR:

NAME:

SECTION NUMBER:

_________________

Mr. Ms. Mrs. Miss (circle one)

EMAIL ADDRESS: (3L’s, please provide a non-Georgetown address) _____________________________ CURRENT ADDRESS:

FALL 2009 or PERMANENT ADDRESS:

PHONE: AMOUNT OF CONTRIBUTION: $ Credit Card: below): Acct. # GULC/EJF)

Visa

MasterCard

PHONE: Check all that apply:

AmExp

One Day

Class Gift

Donation: I am paying NOW by (specify Cash

Name on Card

Check # ____ (payable to OR

Pledge: I promise to fulfill my pledge by 12/1/09. Exp. Date

(NOTE: Only donations over $100 may be pledged)

Signature

Signature

May we contact your employer for a matching contribution? Many employers match the contributions of their employees, doubling the effect of your gift. Employer and Employer Address: CONTACT PERSON: PHONE NUMBER:

YES

EJF USE ONLY:

Name of EJF Applicant who secured this contribution: