Investment Commitment Form Take the Next Step to Make a Difference 2026 Progress Lakeshore Investment Commitment Form Contact Information Company Name * Primary Contact Name * Primary Contact Name First First Last Last Title * Primary Contact Email * Primary Contact Telephone * Mailing Address * City * State * Zip * Physical Address (if different) City State Zip Contribution Level Visionary $10,000+ Please Specify Amount Platinum Champion $6,000 to $9,999 Please Specify Amount Impact Advocate $3,000 to $5,999 Please Specify Amount Growth Partner $1,000 to $2,999 Please Specify Amount Community Builder $250 to $999 Please Specify Amount Billing Cycle & Length Please choose length of commitment: * Annual - Your commitment will be auto-renewed every year, unless otherwise notified. Multi–year - Specify length of commitment below. Number of Years 012345678910 Please choose billing cycle: * Quarterly (Jan/Apr/Jul/Oct) Annually (specify month below) What Month Should We Invoice You? JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Payments made to Progress Lakeshore Inc. are not tax deductible as Charitable Contributions for income purposes. Charitable Contributions can be made to Progress Lakeshore Foundation, a 501(c)3 organization. Submit If you are human, leave this field blank.
