Online Pledge Form

I/We pledge to Nativity's Centennial Campaign.

Yes (Required) Please select this field.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Please enter the amount of your pledge below.
(Numbers only, please; no commas or dollar signs)

Amount of Pledge REQUIRED Please fill out this field. Please enter an integer (number).

I/We intend to pay our pledge in... REQUIRED 3 Years 5 Years Please fill out this field.

Timing of Gift REQUIRED Weekly Monthly Annually Please fill out this field.

Please enter the amount of your initial payment below.
(Numbers only, please; no commas or dollar signs)

Initial Payment REQUIRED

Please consider giving 10-20% initially

Please fill out this field. Please enter an integer (number).

Date of First Payment REQUIRED Please fill out this field. Please enter a date.

Please enter the balance to be paid later below.
(Total pledge minus initial gift - numbers only, please; no commas or dollar signs)

Pledge Balance REQUIRED Please fill out this field. Please enter an integer (number).

Corporate Matching My gift will be matched by my company.

Company Name Please enter valid data.

Method of Payment REQUIRED Cash/check (make payable to Nativity of Our Lord) Automatic Withdrawal (visit nativitystpaul.org/centennial-campaign-payments) Stock* Life Insurance* Other* Please fill out this field.

*Nativity will contact you for additional information.

Preferred name for campaign recognition materials

If different than above

Please enter valid data.

Anonymous Option I/We would like our gift to remain anonymous.

Initials REQUIRED

In lieu of signature

Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter a date.