LEDC Commitment for Investment:

Yes! I want to invest and be a partner in LEDC through Partners in Progress

Company or Individual Name:
Name & Title: *
Mailing Address 1: *
Mailing Address 2:
Mailing Address 3:
City: *
State: *
Zip Code *
Phone: *
Fax:
Would you or your company like to be listed as an investor? *	Yes  No, I wish to remain anonymous.
Please accept my fiscal year 2009/2010 investment of: $ *
How would you like to be Invoiced for your 2009/2010 investment? *	----MonthlyQuarterlyFor the Year (in one payment)
What date would you like your Investment invoices to start? *
Notes:
Please type the letters and numbers shown in the image.

Please make check payable to “Partners in Progress,” a campaign of LEDC, a 501(c)4 a not for profit corporation.
For information about making your investment as a tax-deductible charitable contribution, please contact LEDC.
Always consult your tax advisor for deductibility of your investment.