“Cares for Kids” Radiothon Pledge Form

Thank You! We greatly appreciate you commitment to help children with mental and physical disabilities in southwestern Pennsylvania. Should you have any questions, please call Variety the Children's Charity at 412-747-2680.

Donor Information
Name: Name to announce on air:
Address:
City: State: Zip Code:
Home Phone: () - Work Phone: () - Cell Phone: () -
Email Address:

Pledge Information
Pledge Amount $ .00 Matching Hour Sponser:
Please enter a whole dollar amount, do not include symbols such as '$' and '.'

Monthly Payments
Monthly Payments Please charge my credit card $ a month for month(s).
Monthly payments starting on Run my credit card on: of each month.


Buddy Bear Information
Want to send a child with special challenges to summer camp? A gift of $200 will send a child with a mental and physical disability to Camp Variety for Kids next summer 2010. With your pledge of $200, you will also be invited to personally present a Buddy Bear to one of Variety’s campers on a day set aside to recognize our Buddy Bear donors. Buddy Bear donations can also be made in memory of or in honor of a loved one or special occasion. The bears will be tagged with your special message.

Number of Bears: Braclet to read:

** Buddy Bear Donors will receive a letter from Variety the Children’s Charity in June 2010 inviting them to Camp Variety for Kids to present their bear in person to one of Variety’s campers.

Payment Information



 Name as it appears on card:
Credit Card Number: Expiration Date:

Please mail your check/money order to:
the Children’s Charity of Pittsburgh
Three Penn Center West, Suite 229
Pittsburgh, PA 15276

Thank you for your gift!

By checking this box you acknowledge and agree to authorize Variety the Children’s Charity to process debits/credits in electronic form to the Bank account/Credit Card referenced above. You also acknowledge and agree that this Authorization and Consent will have the same force and effect as if you signed it in writing and delivered it as such to Variety the Children’s Charity.