Pepper Foundation Contribution Form

To send us your pledge, choose one of the options below:

Fill out the pledge form below and submit it online by using the SUBMIT button at the bottom. If you make a mistake, just press the CLEAR FORM button to start over.
If you do not wish to submit your pledge online, please print and fill out the form below and contact the Claude Pepper Foundation. If you wish to mail your contribution, please make checks payable to The Claude Pepper Foundation.

Please Provide the Following Information

Name:

Street:

City:

State: Zip Code:

Email:

Phone:

Contribution amount:

If you selected Other, please enter the amount.
Other:

If the amount of your contribution is $25 or greater, please choose a thank-you gift from the selections below. Please specify if you would prefer a CD or Cassette.

Audio Type

Gift Selection

If you have any comments or questions, please use the space below.

Please Note

Your thank you gift will be sent to you when your pledge is paid in full. Please allow 6-8 weeks for delivery of your gift.

All contributions to the Pepper Foundation are tax-deductible within the regulations of the Internal Revenue Service. Please be advised that the amount of the contribution that is deductible for federal income tax purposes is limited to the excess of any money contributed by the donor over the value of goods or services provided by the Pepper Foundation. You will be notified of the nominal amount of the non-deductible portion of your contribution.

Thank you for your generous support!