PLEDGE
  
     
 

______________________________________ is pleased to pledge a total of $_____________

                COMPANY / ORGANIZATION / INDIVIDUAL

  
     
 

to Youth Media Workshop Inc. to assist in providing media art education opportunities to youth, and to assist them in their overall development through individual creativity.

  
     
  This donation will be provided as follows:  
     
             Number of Installments                       ______________________  
     
             Month of Each Installment                  ______________________  
     
              Installment Amount                             ______________________  
     
              Date of First Installment                      ______________________  
     
 

___________________________      ___________________________      _________________

                         AUTHORIZED SIGNATURE                                            TITLE                                                       DATE

  
     
 

Youth Media Workshop gratefully acknowledges your generous support!