Pledge Form

Spring Fund Drive 2026

1Family information

Parent / donor name

Phone — optional

Student name

Grade

Teacher

2My pledge

$25

$50

$100

$250

Other amount$

Please direct my pledge to

3Payment

Card — last four only; the full number is captured securely

•••• •••• •••• Processed securely. Full card number and CVV are never written on this form.

Check enclosed, payable to Maplewood PTA

4Matching gift

Many employers double your gift — optional

Employer

Will match?

Yes

Donor signature

Date

Thank you for supporting Maplewood Elementary! Maplewood PTA is a registered 501(c)(3); your gift is tax-deductible and 100% stays at our school. Pledges fund the programs our students love most — field trips, classroom libraries, art and music supplies, and the science lab.