Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

How often I plan to donate *

Per Month

Per Year

I would like to use e-Giving *

To sign up for e-Giving click on the "I want to E-Give" button on the Pledge page after submitting this form.

Please contact me by the email listed above.

Please call me on the phone number listed above.

Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Date of first donation

MM

DD

YYYY

Date of last donation

MM

DD

YYYY

Frequency of Donation

Monthly on the 10th

Monthly on the 20th

Semi-Monthly on the 10th and 20th

I authorize Edmond 1st United Methodist Church to process debit entries to my account.

Click the box to authorize.

Yes

Type of card

Visa

Mastercard

American Express

Authorization

Click the box below to authorize.

I authorize Edmond 1st United Methodist and Vanco Services, LLC to process debit entries to my credit card.

Date

MM

DD

YYYY

Credit card fees

Please add 2.75% to my transactions to offset fees asessed by credit card companies.