American Council on Gift Annuities
Application for Sponsorship
Complete the following form & print.
Mail the completed form, along with your payment or payment information to:
ACGA, 233 McCrea Street, Suite 400, Indianapolis, IN 46225-1030
* Required information.
* New Sponsorship * Renewal - ID#
Organization:
*
Contact Person:
*
Title:
*
Certifications:
Address:
*
City:
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State:
* Zip: *
Work Phone:
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Fax:
Email:
*
Demographic Data:
*
If you work for a nonprofit organization,
do you work in a:
Payment Information
Select below.
Check
Payment enclosed. Please make check payable to
The American Council on Gift Annuities.
Credit Card
Name on Card:
Credit Card # :
Security # : Exp. Date:
To be included in the Donors' Corner series of web links, The American Council on Gift Annuities requires that each charity requesting a link on ACGA's web site signifies its support of the Model Standards of Practice for the Charitable Gift Planner by agreeing to the following statement, from an officer of the charity: On behalf of my organization, I certify that I have read and subscribe to the Model Standards of Practice for the Charitable Gift Planner and that I represent a qualified charity with an active gift annuity program. I further certify that all persons with gift planning responsibilities in this organization are aware of and abide by these standards.
By checking this box I certify & agree to the above statement.