Benefit Pledge Form

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
two ways to give
MY SINGLE GIFT IS
Select a payment option:
- Check will be mailed
- Contact me about a special gift (i.e. stocks)
MY ONGOING MONTHLY GIFT IS:
Select a payment option:
- ACH from Checking (I will mail voided check or contact Nancy, bookkeeper, with account information)
- I will mail my monthly check
I already have an ongoing monthly pledge:
- Continue my current pledge of:
- Change the amount of my current pledge to
Please include any questions or special circumstances you want to bring to the attention of our bookkeeper.
Monthly Authorization:*
Monthly Authorization:
Please transfer my monthly gift from my account on the 15th of each month (beginning with October 15, 2020) until further notice from me. I understand this agreement is the same as signing a check each month, and I may change it at any time by contacting Little Way.