Please do not send any recognition or thank you gifts

Your Friends of Scouting

Gift Provides:

The funding necessary to train and recognize, pack, troop and council leadership.

Unit planning materials to help leaders serve your unit.

Membership recruitment materials.

Year-round maintenance and upkeep of scouting facilities

Falley Scout Reservation & Rolley Service Center

FUN! Boys who join scouts have fun, & your donation helps us provide activities that are fun.

Scouting programs for youth unable to afford the full fees.

Services to Kansas communities through the thousands of hours spent by Scouts.

Support - the great things going on in the Jayhawk Area Council could not be done with out the professional support of the council office and the volunteers that dedicate countless hours.

THANK YOU FOR YOUR SUPPORT OF SCOUTING

The Jayhawk Area Council is a 501c3 Tax Exempt Organization.

Contact/Parent Name (please print)

Address

City/State/Zip

Phone (Primary) (Secondary)

Email

Signature Date

For Scout Families Only—CIRCLE ONE UNIT #

Pack Troop Team Crew Ship Post

My employer makes matching contributions. Company Name: __________________________

Please Bill (Immediately)

Bill Once on (Pledges of $25 or less will only be billed once)

Bill Twice (Immediately & June)

Bill Four Times (Immediately, May, July, September)

Family Champion 5 payments $36 Each (Now, May, July, September, November)

I have Scouting in my will.

I am an Eagle Scout! ___________(year)

Pledge::

Contact Info: Personal Business

Payment Information:

Expiration Date / VCode: ________ (from back of card)

CREDIT CARD: Visa / MasterCard / DSC / AMX

Please Charge my Credit Card $____________ (check billing option below, if none is checked

it will be charged upon receipt)

Other Info:

Distinguished - $10,000

- receive a recognition plaque

Benefactor - $5,000

A gift of $7,200 will support one Pack for one year.

- receive a recognition plaque

Sponsor - $2,500

A gift of $4,320 will support one Troop for one year.

- receive a recognition plaque

Guardian - $1,000

A gift of $1,440 will support one Patrol for one year.

- receive a recognition plaque

Honor - $750

- receive a recognition plaque

Patron - $500

- receive a recognition plaque

Gold Supporter - $360

I will support two Scouts for one year. - receive both the multi-tool and license plate

Family Champion - $180

I will support one Scout for one year. - receive a Jayhawk Area Council logoed multi-tool

Family Supporter - $90

Pair my gift with another donor’s to support one Scout for one year.

- receive a BSA fleur-de-lis license plate

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Any donation of $25 or more will receive a button loop patch of the Rockwell Print “Can’t Wait”

$10,000 & Up $5,000 - $9,999

$2,500 - $4,999 $1,000 - $2,499

$750 $500

$360 - Support 2 Scouts $180 - Support 1 Scout

$90 Other:$___________

Matching Gifts

Think your company may do matching gifts? Double your contribution to the Jayhawk Area Council,

just follow these simple steps:

- Complete and return your pledge card with company information - Get your company’s matching gift form - Pay your pledge - Turn in your company’s matching gift form

While specific company instructions may vary these are the basic steps. If you have any questions, feel free to contact

the Jayhawk Area Council at 785.354.8541 1020 SE Monroe St. ● Topeka, KS 66612

P 785.354.8541 ● www.jayhawkcouncil.org

Business/Employer

Automatic Withdrawal - MUST COMPLETE form on Reverse

Enclosed is my Cash/ Check gift $______ Please make checks payable to: Jayhawk Area Council, BSA

Falley Scout Reservation

(No geographical area, serves Scoutreach

and Explorer posts)

(I/We) do hereby authorize Jayhawk Area Council, Inc., Boy Scouts of America, hereinafter named the COMPANY, to initiate recurring (debit or credit) entries to (my/our) (Checking Account/Savings Account) as

indicated and named below as the depository financial institution, hereafter named FINANCIAL INSTITUTION. (I/We) acknowledge that the origination of ACH transactions to (my/our) account must comply with the provisions of U.S. law. I am a duly authorized check signer on the financial institution account identified below, and authorize all of the above as evidence by my signa-ture below.

Financial Institution Name:

Branch:

City:____________________State:______Zip:_________

Routing #:

Acct. #:

OR

Credit Card# :

Exp.: / VCode: (# from back of card)

Payment Start Date:________Payment

Amount:_______________

# of Payments: _______ or _________continuous.

This authorization is to remain in full force and effect until the COMPANY has received written notification from me (or either of us) of its termination in such manner as to afford the COMPANY and FINANCIAL INSTITUTION a reasonable opportunity to act on it.

Name(s): Signature:

Date:

Remember the Jayhawk Area Council, BSA in your will. Planned gifts, gifts of appreciated property, gifts through life insurance, and charitable trusts all help secure the financial future of the Scouting program for youth throughout Coffey, Greenwood, Jackson, Jefferson, Lyon, Marshall, Nemaha,

Osage, Pottawatomie, Shawnee, and Wabaunsee counties.

Please contact: Erin Aldridge, Development Director,

at (785) 276.3341 or Erin.Aldridge@Scouting.org for more information.

OLSBURG

ALLEN ADMIRE

Camping10%

Activities/ Programs

15%

Popcorn Sales26%

Friends of Scouting/

Contributions13%

United Way

6%

Special Events

9%

Scout Shop2%

Misc Funds19%

Fundraising 8%

Assistance to

Individuals/

ScoutReach

6%

Camping

Programs

14%Activities & Unit Service

62%

Management

3%

National Charter Fee

2%

Scout Recognition

3%

Insurance2%