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Run: Donor Recognition Wall Listing Approval Form

A donor recognition wall listing approval form for confirming gift level, listing name, honorifics, and final donor sign-off before fabrication or printing.

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Gift Officer & Record Information

Gift Officer / Stewardship Staff Name (required)

Gift Officer Email (required)

Constituent / Donor ID (CRM Record Number) (required)

Enter the donor's unique identifier from your CRM (e.g., Raiser's Edge, Salesforce NPSP, Blackbaud).

Date of Gift or Pledge Commitment (required)

Gift / Pledge Amount (USD) (required)

Recognition Program or Display (required)

Select the specific wall, display, or giving society where this listing will appear.

If 'Other', please specify the recognition program

Gift Level & Recognition Tier

Recognition Tier / Giving Society Level (required)

Custom Tier Name

Gift Type (required)

Pledge Fulfillment End Date

Required if gift type is a multi-year pledge.

Intended Recognition Duration (required)

How long should this listing remain on the display?

Preferred Listing Name & Language

How would you like your name to appear on the recognition display? (required)

Exact Listing Text

Enter the precise name or phrase as it should appear. Include honorifics, suffixes, or punctuation exactly as desired. Max 120 characters.

Secondary Line (Optional)

A second line of text beneath the primary listing name, if desired. Max 100 characters.

Honorific / Title Preference

Select if an honorific should precede the name.

I confirm the listing text above is correct and ready for fabrication (required)

Yes No N/A

Reason for Anonymous Listing (Optional — Internal Use Only)

This information is for internal records only and will not appear on the display.

Named Space or Endowment Details

Does this gift include a named space, room, or endowed fund? (required)

Type of Named Recognition

Official Name of Space / Fund (as it will appear on plaque or listing)

Is a signed Naming Agreement on file?

Date Naming Agreement Was Signed

Donor Review & Consent

I have reviewed the listing text and gift level shown in this form and confirm they are accurate. (required)

Yes No N/A

I consent to my name (or the name listed above) being displayed publicly on the organization's recognition wall or giving society display. (required)

Your name constitutes PII. Per our privacy policy, it will be used solely for recognition purposes and will not be sold or shared with third parties.

Yes No N/A

I authorize the organization to proceed with fabrication or printing of my recognition listing as specified. (required)

Yes No N/A

Requested Changes or Corrections (if any)

Leave blank if no changes are needed. A staff member will contact you to confirm corrections before proceeding.

Donor Signature (required)

Your signature confirms approval of this recognition listing.

Date of Signature (required)

Donor Email Address (for confirmation copy) (required)

A confirmation copy of this approved form will be sent to this address for your records.

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Email (required)

Your name (optional)

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