Dayton Foundation Logo THE CARL B. KERN FUND

Pledge Form
last updated August 29, 1998

WELCOME!
.... Home Page
.... Carl B. Kern

Establishment
.... Kuhn Letter, 11/21/87 [PDF]
.... Fund Agreement [PDF]

Advisory Committee
.... By-Laws
.... Current Members
.... Agendas & Minutes

Finances
.... 2010 Financial Summary
.... 2010 Donations
.... Honorary & Memorial Gifts
.... Financial Summaries
.... Summary of Gifts
.... Distributions
.... Pledge Form

Links of Interest
.... The Dayton Foundation
.... YMCA Camp Kern
.... Friends of Kern, Inc.

This form will allow you to make a pledge to The Carl B. Kern Fund. If you would like to designate this as an Honorary or Memorial gift, check the appropriate box, enter a name and address if known for an acknowledgement of the gift, and feel free to enter additional comments about the individual to be posted on the "Honorary and Memorial Gifts" page.

Note that the boxes marked with a double-asterisk (**) MUST be entered so that this form can be processed successfully. Thank you very much for your support....

Hint: Move your cursor to the inside of each box, click, then start typing. When you're done typing inside the box and want to move to the next box, press the TAB key or move your cursor to the next box and click. DON'T press the ENTER key, because that is the same as clicking on the "Send Request" button at the bottom, and it may send off this form for processing before you're done completing it. Multi-color Bar

Personal Information

** Name (as it should appear on Annual Report) ** Preferred E-mail Address
** Address
** City ** State ** Zip (+4, if known) Phone w/ Area Code

Check the following box to give permission to share your address and phone with YMCA Camp Kern:

Please forward the above information to YMCA Camp Kern.

Gift Information

** Pledge Amount
I would prefer that this gift remain anonymous.

Honorary / Memorial Tribute Information

This gift is (please check one if applicable) in honor of in memory of

(type in full name as it should appear on web site and reports)

This gift should be acknowledged to the following: (type in names and addresses, if known)

Acknowledgement #1 Acknowledgement #2

If you would like to offer a few words about this individual - why you want to recognize him/her, etc, - please use the space below, and your text can then be linked to his/her name on the Honorary and Memorial Gifts page:

Other Comments, Questions, or Suggestions?

Please type in your feedback below:

This will send an e-mail message with the above information to the Chair of the Kern Fund Advisory Board. Confirmation will be sent back to you within a day or so. THANKS!!!

This will clear all the above info entered so you can start over.