Yes! I want to be a Dream Catcher This is your Dream Catcher Commitment Form Thank you for your support!! OK Question Title * 1. I Pledge to Raise $1000 in one year for the Children's Advocacy Center (your pledge year begins from the date of this form) Yes OK Question Title * 2. Contact Information Name * Address * Address 2 City/Town * State/Province * ZIP/Postal Code * Email Address * Phone Number * OK Question Title * 3. Commitment Choice: One time payment of $1,000 Automatic Withdraw Throughout the Year (quarterly, monthly, bi-weekly or weekly options) Pay as you go (This option allows you to pay as you earn, adding up up to your pledge amount throughout the year) OK Question Title * 4. If you choose Auto Pay please choose your option below Quarterly (4 payments) $250 Monthly (12 payments) $83.34 Biweekly (26 payments) $38.47 Weekly (52 payments) $19.24 OK Question Title * 5. Is there anyone you know who would also be interested in taking the pledge? Name Contact Information How do you know them OK DONE