2023 Annual Pledge Form

Thank you for pledging to St. Anne's for 2023. We appreciate your generous commitment.

Name

*

Email

*

This address will receive a confirmation email

Address

*

Home Phone

Cell Phone

I (we) offer an annual total of:

*

Frequency of pledge

*

Please select one option.

Prepaid now 52 weekly gifts 12 monthly gifts 4 quarterly gifts 1 annual gift

To fulfill your pledge and explore ways to give, go to www.stannes-reston.org/give or call Angie Gray at 703-437-6530.

Our Donation Information

We will make our gift in the following form:

Personal Check (NOT Automatic Withdrawal)

Please select one option.

Yes No

Cash

Please select one option.

Yes No

Stock/Securities

Please select one option.

Yes No

Automatic withdrawal from my checking account. (You'll need to send a voided copy of a blank check to Angie Gray at

St. Anne's Episcopal Church
1700 Wainwright Drive
Reston, VA 20190

I authorize St. Anne's to withdraw (in dollars)

Timing

Please select one option.

5th of each month 20th of each month

Automatic charge to my credit card. (St. Anne's is charged 3% handling fee. Please consider this when making your gift.)

I authorize St. Anne's to charge the following amount to my credit card account (in dollars)

Timing

Please select one option.

5th of the month 20th of the month

Credit Card Type

Please select one option.

AMEX Discover MasterCard Visa

Credit Card Number

Credit Card Expires

Credit Card CCV

Description

Thank you for pledging to St. Anne's for 2023. We appreciate your generous commitment.

Please Fix the Following

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