Investment Commitment Form Take the Next Step to Make a Difference Investment Commitment Form Contact Information Business Name Business Mailing Address Primary Contact's Name Email Phone Investment Level Diamond Level ($10,000+) Gold Level ($5,000 to $9,999) Silver Level ($1,000 to $4,999) Bronze Level ($250 to $999) Investment Billing Details Please choose a billing cycle Quarterly (Jan/Apr/Jul/Oct) Annually Please indicate month to be billed Please choose length of commitment Ongoing (commitment will be auto-renewed every year, unless otherwise notified) Multi-year (i.e. one year, two years, three years) Please indicate length of commitment Payments made to Progress Lakeshore Inc. are not tax deductible as Charitable Contributions for income purposes. Charitable Contributions can be made to Progress Lakeshore Foundation, a 501(c)3 organization. Submit If you are human, leave this field blank.
