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Pledge Submission Form
We at Valohrient Productions thank you for your pledge!
Pledger Information
First Name
Last Name
Email
Company /Organization
Pledge Details
Where would you like your pledge to be applied?
Pledge Amount
Pledge Date (If known)
Pledge Conditions
When and under what conditions is this pledge being made?
Pledger Preference
Pledge in the name of:
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Is this an anonymous pledge?
*
Yes, I would like to remain anonymous
No, I do not need to remain anonymous
Pledger Approval
Signature*
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Today's Date
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Thank you, we will review your submission!
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