Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* PhoneEnvelope Number Amount Of Pledge Per Month To The General Fund Amount Of Pledge Per Month To The Building Fund What Method(s) Do You Plan To Use To Fulfill Your Pledge Continue my existing ACH Adjust my existing ACH (Please note the amount of the adjustment per month in the comments below) New ACH (we will contact you to complete this method of giving and must collect a voided check from the account you plan on using) Text – to – give (giver initiated) Cash or check in plate (no envelopes) Credit card kiosk in the Commons (giver initiated) I will sign up via the Risen Savior Web page to give online Stock, retirement funds or other special methods Envelopes Do you want to get envelopes? I currently get envelopes and would like to continue receiving them I do NOT have and would like to sign up to get envelopes I have envelopes and would like to stop receiving them Comments/NotesPhoneThis field is for validation purposes and should be left unchanged. Δ
