ESTIMATE OF GIVING FORM

Name *

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

When *

Bi-Weekly

Monthly

Yearly

If you would like the church business office to deduct your pledge from your bank account, please indicate below.

Set up bank draft (business office will contact you)

Continue my current back draft and:

Increase to above amount

Decrease to above amount

Remain the same amount