Union African Methodist Episcopal Church
Warwick, New York · UnionAMEchurch.org

Pledge Form

I/We pledge the following amount to Union AME Church for the sole purpose of reducing the new building mortgage of the Church.

Pledge

First Name:
Last Name:
Company :
Occupation:
Address 1:
Address 2:
City:
State:
Zip:
Fax:
Daytime Tel:
Email:

Total amount of my Pledge:
My elected schedule of payment:
Weekly in the amount of:
Bi-Weekly in the amount of:
Monthly in the amount of:
Total amount I will pay by December 15, 20XX (4 months)
Total amount I will pay by June 15, 20XX (6 months)
Total amount I will pay by December 15, 20XX (12 months)

Tithe

Total amount of my Tithe:
The total projected amount of my tithe and offering:
My projected tithes and or offering for the next year:
Weekly in the amount of:
Bi-Weekly in the amount of:
Monthly in the amount of:

In addition to financial contributions, I pledge to keep the building process firmly in my prayers and participate in all worship services related to this journey.

Signature:

Date:

Witness (Print Name):

Witness Signature:

Date:

Thank you for completing this Pledge Form.