Pledge Form

 (Note:) You may contact us at 1-800-868-9733 if you'd like to make your pledge over the phone.

*Name:
 *Address:
*City:
 *State & Zip: &
*Phone #:
Email:
   

 
 

Your Pledge
What is the AMOUNT that you are pledging?
        If pledge is a MONTHLY gift, place monthly amount here:
        If pledge is a ONE TIME gift, place the amount here:         
Is this a New Pledge?  (Yes)      (NO)
Is this an Increase or Renewal of a previous pledge? (Increase)  (Renewal)
Please Choose your payment method

 I will be sending my pledge in the mail by check. (Check if yes)
 Are you interested in Automatic Withdrawal from a bank account? (Check if yes)
 Do you want to make this payment with a credit card?   (Yes)    (NO)
     (We will contact you for credit card transactions)

 

SURVEY (Optional):
 Enter your comments, question, or prayer requests below:

In which church do you fellowship (include city)? 

PLEASE NOTE:

  1. We THANK YOU SO MUCH!
  2. Donations are tax deductible and receipts will be mailed to you for tax purposes.
  3. For those who prefer to mail a check here is the address:
    WRGX
    PO Box 28
    Sturgeon Bay, WI 54235