If you would like to pledge a donation to Bangladesh Center,
Please complete the following form and mail a printed copy to:

Bangladesh Center
1620 Bay Area Blvd. #1710
Houston, TX 77058

Pledge Form for Bangladesh Center

Select One Founder Member ($10,000 and up) Charter Member ($5,000 to $9,999) Sponsor Member ($2,000 to $4,999) Life Member ($1,000 to $1,999) Patron Member ($500 to $999) Center Member ($20 to $499) __________________________

Automatic withdrawal available (direct deposit form)

Personal Information Name: Address: City: State: Zipcode: Phone (home): Phone (work): Email: Signature: ____________________________________

Important Notice: In an event of failure of land procurement, your contribution will be refunded to you.