Printer friendly Building Fund Pledge Form

Printer friendly Pledge Form

You can fill out this form, then print it using your
browser's print command and mail it with your
payment.

Full Name:

Address:

Address 2:

City:

State:

Zip Code:

Phone No.:

E-mail Address:

Total Pledge:

Choice 1:

I will send a
down payment:

I will make a
monthly
payment of:

$ over

3 yrs.

4 yrs.

5 yrs.

OR Choice 2:

I prefer to make
the following
arrangements to
pay my pledge:

Paying by
MasterCard or
Visa would be
useful to me.

Yes No