---
title: Donation pledge form template, free
description: A free donation pledge form template. Pledge a gift: the amount, how often, when, how to be thanked and whether the gift may be named. No card or bank details are collected. Publish it as one link; every response is its own signed copy.
---

# Donation pledge

Pledge a gift: the amount, how often, when, how to be thanked and whether the gift may be named. No card or bank details are collected.

Record pledges clearly, so you can follow up and thank donors as they wish.

## About you

- Full name (text)
- Email (email)
- Phone (phone, optional)
- Street address (text)
- City (text)
- State or region (text)
- ZIP or postal code (postal code)

## Your pledge

- Amount (text)
- How often (choice)
- Starting (text)
- For how long (choice)
- Purpose (text, optional)

## Thanks and recognition

- How to thank you (choice)
- Name to show (text, optional)
- Please keep my gift anonymous. (tick box, optional)
- I understand that this pledge is not a binding contract and that I can change or cancel it at any time. (tick box)

## Signature

- Donor signature (signature)
- Donor date signed (date signed)