Sharing Is Caring Commitment Card

Salutation REQUIRED Please fill out this field.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Spouse Please enter valid data.

Registered Parishioner? Yes No Don't Know

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Spouse's Phone Number Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Spouse's Email Please enter valid data.

Other 3-year Commitment/Gift Amount:

Total commitment amount over 3 years, if "Other"

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Please send me reminders Monthly Quarterly Semiannually Annually One-Time

Date of First Payment

When would you like to make your first payment? Three-year pledge period starts when your first payment is made.

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Matching Gift option My gift will be matched by my company.

Company Please enter valid data.

Method of Payment REQUIRED Cash/Check (Payable to "St. Martha Catholic Church" with "Capital Campaign" in the memo line Stock/Life Insurance (The St. Martha office staff will contact you for additional information) Online giving through Faith Direct Other: (fill out below) Please fill out this field.

Other method of payment: Please enter valid data.

Electronic Signature REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter a date.

Please print your name as you would like it to appear in any campaign recognition materials: REQUIRED Please fill out this field. Please enter valid data.

I/We would like our gift to remain anonymous. Yes

Do you have any prayer requests we can pray for? Please enter valid data.