I want to help secure the future of OSL

Pledge a Contribution

I (we) wish to pledge a contribution of $, to be paid on the following schedule:

$ on 

 ; 

$ on 

 ; 

$ on 
mm/dd/yy mm/dd/yy mm/dd/yy
 
Name
Check here if you do not want your name published in the Donor Recognition Lists.
Address
Address2
City State Zip
Day Phone Fax Number
Home Phone E-Mail
 
 

  Contributions are tax deductible to the maximum
extent permitted by law. OSL is a 501C3 tax
exempt organization. Tax ID # 91-0658331