Pledge Form – Lotus Chapel Colony

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Supporter ($5-14./month) One free service retreat per year

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Donor ($15-25./month) One free service retreat per year, and a 50% discount for a non-service weekend retreat ($150.)

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Builder ($30-50./month) two free service retreat per year and one free non-service weekend retreat per year

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Developer (more than $75./month) three free service retreat per year and one free non-service week long retreat, or two free non-service weekend retreats

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Tier Level

Name

First

Last

As a member of the SRF/YSS community of devotees that supports the Lotus Chapel Colony, I hereby pledge on a monthly basis at one of the above levels:

Signature here

Tier