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 Rebate Gift Form

Donor Information

Gift Information – Please see the options below for giving through rebates.

  • I pledge a total of $ . Please deduct the amount from my rebates until fulfilled.
  • I pledge $ from each rebate for the next four rebate cycles.
  • I pledge my full rebate for rebate cycles.

The rebate payout schedule is:
July – 1st quarter paid out
October – 2nd quarter paid out
January – 3rd quarter paid out
April – 4th quarter paid out

Acknowledgement Information

Please use the following name(s) in all public gift recognition:

I wish to have my gift remain anonymous.

After the gift deductions are complete, the rebate balance will be sent to you in the form of a check.

Gifts through rebate deduction are tax deductible. Receipts will be sent to you for your records. Nexstar Legacy Foundation is a 501(c)(3) non-profit organization; EIN 20-3547319.