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North Carolina Local Government Wing <br />Campaign Pledge and Gift Form <br /> <br />The NC Local Govemmeat Wing (tight) with parking deck , .. <br />two, large classroqms with ~ered seating and a spadous atrium. <br /> <br /> atures <br />~[~econd level* fe ~ <br /> <br />Contact information: <br /> <br />Municipality / county name: <br /> <br />Contact person: Title: <br /> <br />Mailing address: <br /> <br />City:. State: Zip code: <br />Phone: Email: <br /> <br />[~Yes! We want make a gift of $ to the NC Local Government W'mg <br />Campaign (Designation # 0511) which will help to meet the Knapp Challenge. <br /> <br />Pledge: [] We wish to pledge a total of $ over years. <br />Year 1 gift amount $__ Year 2 gift amount $ Year 3 gift amount $__ <br /> <br />How often should we send reminders? Annually Semi-annually Quarterly <br />Begin reminders: <br /> <br />Please make your check payable to the IOG Foundation-Capital Improvement. <br />, Indicate the Designation # 0511 on the memo line. <br /> <br />Please return dm <br />form and your gaft <br />to' <br /> <br />Institute of <br />Government <br />Foundauon <br />CB# 3330 <br />Knapp B~dmg <br />The Umverstty of <br />North Carolina at <br /> <br />Chapel I-rdl, NC <br />27599-3330 <br />Fax number <br />(919) 966-4762 <br /> <br /> <br />