TAX DEDUCTIBLE PLEDGE RECORD SHEET
CITY :_________________STATE :____________ZIP :_____________
AMOUNT OF PLEDGE / CONTRIBUTION:$___________
ONE TIME CONTRIBUTION?_____
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:
2338 East 5TH ST