Wufoo

PSUMC Capital Campaign Commitment Form

Many Gifts, One Spirit

I/we commit:
A one lump sum gift of: $
A per month (36 payments) gift of: $
A per year (3 payments) gift of: $
A per week (156 payments) gift of: $
A per quarter (12 payments) gift of: $
An additional one time gift of: $
Other: (please specify)
The gift(s) noted above will be a three-year total gift toward the Capital Campaign in the amount of:
Total: $
I / We understand that this is a faith commitment and that I/we can change the above amount in case of changing circumstances.
Name First Last
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Email
Date / MM / DD YYYY
Do Not Fill This Out