2017 Pledge Form

Pledge Form

    Donor Information

  • Pledge Information

  • This form will automatically allow you to pay by credit card. For all other payment options please Click Here to download a Pledge Form and mail it in with alternate payment options. Please make checks, corporate matches, or other gifts payable to: Therapeutic Touch International Association P.O. Box 130 Delmar, NY 12054
  • Gift/Pledge Matches

  • If gift match is being submitted electronically please include the name of the person submitting the form and the email address in the fields below.
  • Acknowledgement Information

  • Signature