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MEMORIAL CHURCH
TAX DEDUCTIBLE PLEDGE RECORD SHEET
√PLEASE PRINT√
NAME :______________________________________________
ADDRESS :_________________________________________________
CITY :_________________STATE :____________ZIP :_____________
AMOUNT OF PLEDGE / CONTRIBUTION:$___________
ONE TIME CONTRIBUTION?_____
MONTHLY?____
YEARLY?_____
This is for the purpose of sending you a receipt and
to have a record of your intentions.
The information WILL NOT BE GIVEN OUT UNDER ANY
CIRCUMSTANCES.
Thank you, for your interest in MEMORIAL CHURCH, and for your
generous contribution.
Please print out and send, filled in, with your check
or money order to:
MEMORIAL CHURCH
2338 East 5TH ST