Ann & Nate Levine Academy Annual Campaign Contribution Form

Pledge Form - Ann & Nate Levine Academy Annual Campaign

You may use the form below to make a contribution to Levine Academy's Annual Campaign, or you may contact the Development Office for more information about our other campaigns or to set up an appointment.

Be sure to press the "submit" button at the end of the form to send the information.

Required fields*

Name:*

Address:

City:

State/Province:

Zip/Postal code:

Country:

Email address:*

Telephone:

Please tell us how to list your name:*

The amount I wish to pledge is:*

I am paying with:* Visa MasterCard

Credit card number:*

Credit card expiration:*

There are Six Giving Levels:

(gareen/seed) $18 - $249

(shoresh/roots) $250 - $599

(gezah/trunk) $600 - $999

(anaf/branch) $1,000 - $2,499

(aleh/leaf) $2,500 - $3,599

(tzameret/treetop)
$3,600 | $5,000 | $10,000 | $25,000

For more information, please contact the Development Office or call 972-248-3032, ext. 114.