Investor Pledge Form

Become a member of Ozark-Dale County Economic Development Corporation and fill out the form online here.

If you prefer to print and mail your form directly to us, you can download it here.

Investor Pledge Form

First Name*

Last Name*

Email*

Company Name*

Address*

City*

State*

Zip code*

Home Phone

Business Phone*

PLEDGE INFORMATION - I (we) hereby contribute funding for Economic Development purposes in Dale County*

I (we) pledge $______ per year for a period of three (3) years*

Additional Notes

Please bill me*

Monthly

Quarterly

Yearly

Other (please indicate below)

If Other, indicate frequency here:

INVESTOR RECOGNITION - (Investors will be recognized in campaign materials unless an anonymous gift is requested). Please use the following name(s) in all acknowledgements:*

I (we) wish to remain anonymous

INVOICING (Name & Address, if different from above):

Invoicing First Name

Invoicing Last Name

Invoicing Address

Invoicing City

Invoicing State

Invoicing Zip code

Invoicing Home Phone

Invoicing Business Phone

Invoicing Email