Great Valley District FOS Pledge Form This Pledge Form is a vehicle by which individuals can submit financial pledges of support online towards the Great Valley District 2018 Friends of Scouting Campaign (Counties of Roanoke, Botetourt, Craig, Salem, and Roanoke City). This form is for the submission of pledges only and is not capable of processing payment. Individuals that submit pledges on this form will be billed by the Blue Ridge Mountains Council, BSA per their preference indicated below. If you have questions pertaining to the billing or pledge process, please contact the Great Valley District Executive, Chip White, at 540-525-8568 or firstname.lastname@example.org THANK YOU FOR YOUR SUPPORT OF SCOUTING!!! Donor Name * Donor Street Address / P.O. Box * City, State, Zip * Company Does your company have a matching gift program? Please SelectYesNo Cell Phone Number Home Phone Number Email Address District Scouting Unit (If Applicable) Is this gift associated with a specific Great Valley Community Event? Please Select if ApplicableYesNo Please indicate which event your pledge is associated with: Pledge Amount $4,000 (Platinum Eagle Club Member)$2,010 (Golden Eagle Club Member)$1,750 (Day of Scouting Sponsor)$1,250 (Silver Eagle Club Member)$600 (Bronze Eagle Club Member)$300 ("Leadership by Example" Gift)$150 ("One Scout, One Year" Gift)Other (Provide Total Pledge Amount in the Field Below) Other Preferred Pledge Amount Preferred Billing Cycle Immediately (Paid in full by year end December 31st, 2018Semi-Annually (2 times- Now through Decemeber)Quarterly (4 times -Now through December)Monthly (Now through December) Preferred Billing Start Date January 2018February 2018March 2018April 2018May 2018June 2018July 2018September 2018October 2018November 2018December 2018 Today's Date (The Date Your Pledge is Being Submitted) Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020 If you were logged in, you would be able to save your information for quick registration! Create an account here.