Annual Fund Online Pledge Form

E-MAIL your pledge form by clicking on the “submit” button below OR
FAX your pledge form to (301) 634-3653, attn: Annual Fund OR
PRINT THE PLEDGE FORM AND MAIL with check to: Bullis School Annual Fund
10601 Falls Road
Potomac, MD 20854

Please fill out the information below and the amount you would like to contribute to the Annual Fund. The Development Office will confirm your gift and payment terms with a standard acknowledgement letter. All pledges fulfilled by June 30 will be recognized in the School’s Annual Report that is published each fall. If you have any questions, please call 301-983-5707.

THANK YOU FOR YOUR SUPPORT!

What are the Gift Circles?
The Bullis Circle	$50,000 or more
The Chairman’s Circle	$25,000 to $49,999
The Founders’ Circle	$10,000 to $24,999
The Commander’s Circle	$5,000 to $9,999
The Head of School’s Circle	$1,930 to $4,999
The Blue and Gold Circle	$500 to $1,929
The Honor Circle	$100 to $499

To honor Bullis School’s founding year (1930), Annual Fund contributions of $1,930 or more are Leadership Gifts and will be honored and recognized in the spring at the Head of School’s Circle reception.

* Items in bold are required

Contact Information
First Name:
Last Name:
Home Address:
City:
State:
Zip Code:
Email:
Daytime Phone:
Home Phone:
Contributions
Pledge Amount
Type of Gift
Payment Options (choose one)