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Obria Board Member 2024 Gift Commitment Form

CONFIDENTIAL

Secured
1

What is your Full Name?

2

What is your preferred contact method?

Select one answer
3

What will be the total amount of your philanthropic gift to Obria this year, 2024?

Use digits only.
4

Will you be seeking a matching gift from your employer or another source?

Select one answer
5

How would you like your contribution to be recognized?

Select one answer
6

Is there anything you want Henry or Robiaun to know about your giving this year?