Name

Email Address

Address

Phone

If this pledge is a joint or family pledge, the additional family members to whom this pledge should apply includes:

I/we commit to payments in the amount of: $

I/we commit to payments every (check one) I/we commit to payments every (check one) Week Month Quarter Year

Payment method (check one or more): Payment method (check one or more): Cash Check Direct Deposit Online

For the year of 2021, I pledge a total amount of: $

Check any that apply: Check any that apply: I would like to give online through the website. I would like to pick up offering envelopes. I would like to have offering envelopes mailed to me. I have made a plan to give in my will. Please contact me for more information about my plans. I would like more information about Planned Giving. I would like to set up automatic payments via direct deposit. Please contact me to help.

Signature (please type your name)