Gift Pledge Form

Fields marked * require an entry.

Gift Pledge Form

Thank you for generously supporting survivor families as they rebuild lives after abuse!

To make a pledged / pre-committed donation to our 2024 Raphael House Gala, please complete the form below.

Questions? Contact Gina at (503) 243-5159 or gcadessano@aphaelhouse.com

–––––––––––––––––––––––––

To instead make your gift in full now, simply go to raphaelhouse.ejoinme.org/24GalaGive.

Please note that night-of contributions and/or auction purchases at the Gala will be charged immediately following the event to the credit card you register at check-in. Any payment plan below applies only to your pledged gift, unless otherwise arranged with our team in advance. Thanks!

Total gift amount pledged:*

This gift is from:*

Will your gift be matched by an employer or other entity?*

If yes, please include details e.g. who is matching, what amount, when/how funds are sent, etc:

Plan for payment of your pledged gift – by June 30, 2025:*

Please provide further details about your pledge payment plan, including any timing and amount specifics (as relevant):*

Recognition at the Gala:

Our auctioneer will recognize gifts live during the Paddle Raise. Please let us know your preference regarding acknowledgment:*

Contact Information

Company:

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Work Phone:

Email:*

About Us

Contact Us

Follow Us

Thank you to our sponsors

About Us

Contact Us

Follow Us