All Saints’ Anglican Church Renew Pledge Form NAME(S): (please print) ADDRESS: (home) _______________________________________________________ ____________________________________________________ Phone: ______________________________________________ City: ______________________________________________ Email: _______________________________________________ Province:______________ Postal Code: ____________ Place of Work: (optional) ______________________________________________________ Does your employer offer a matching gift program? ☐Yes ☐No Please designate my/our gift(s): All Saints’ Renew Priorities Parish Vitality:
☐
Capital: Reserve Fund
and Heating System
$
☐
Endowments
$
☐
Ministry
$
☐
Where the Need is Greatest
$
My/Our Payment Schedule A single payment gift of: $ __________________
A total pledged commitment of $ _____________________
in payments of:
$ ___________________ Annually for:
☐ 1 yr. ☐ 2 yrs. ☐ 3 yrs. ☐ 4 yrs. ☐ 5 yrs.
Or,
$ ___________________ Monthly for: ☐ 12 mo. ☐ 24 mo. ☐ 36 mo. ☐ 48 mo. ☐ 60 mo.
☐
I/We would like to be contacted to discuss this further.
Form continued on back è
My/Our Payment Method Planned Giving ☐
☐
Cheque enclosed.
I/we intend to make an estate or planned gift to
All Saints’ Anglican Church.
☐
Direct Debit from my/our bank account:
☐ 10th of the month ☐ 25th of the month
Credit Card*:
☐ Visa
I/we have finalized the paperwork and a copy is
attached for your files.
☐
Please send us additional information to share with
our lawyer, insurance representative and/or other.
☐
I/we would like All Saints’ to call us so that we can
discuss the opportunities for making a planned
gift.
Please attach a void cheque.
☐
☐
☐ Master Card
Credit Card number:
______________________________________________________________ Expiry date:
/
☐
Signature: ______________________
Processed on the:
☐ 15th of the month ☐ 28th of the month
Special Gifts I/we wish to make a gift of securities.
Please contact me/us.
* Please note that if you make your donation payment by credit card, related fees charged by the credit card company will be charged to where your gift
is designated - e.g. to All Saints. You can help to minimize administrative costs and avoid credit card and bank charges by providing post-dated cheques for
your pledged commitments. Third party financial and transactional expenses can be significant and must be charged to the program or project that you
support.
Recognition (indicate as many as are appropriate)
☐
My/our name can appear on donor listings All Saints’ Anglican Church as noted below:
Name(s):
☐
In Memory of:
I/We wish our gift to All Saints’ Anglican Church remain anonymous.
This means that your name will be held in strictest of confidence and neither shared not posted on donor recognition lists.
Donor Signature(s): ________________________________________
Date: ______/______/________
FOR OFFICE USE ONLY
Submitted by: __________________________________________________
Date: ______/______/________
Contact Information Once you have completed this form, you can deliver or mail it to:
All Saints’ Anglican Church, 330 City Hall Square W., Windsor, Ontario N9A 1J3
Ph.: +1 (519) 253-8001
Office Hours: 9:00 – 11:30 am Monday-Friday
Email: [email protected]
Website: www.allsaintswindsor.ca