Make Firm our Steps Endowment Campaign

Pledge and/or Payment Form

Contact Information

Please complete for the person who will be the contact. Recognition information is below.

First Name

Last Name

Street Address

City

State

Zip Code

Phone

Recognition Information

Recognition (After clicking on all that apply, spaces will appear to input names).

Please list our/my name(s) on the plaque.For publications, please also include these names in their honor or memory.We/I prefer to be listed as "Anonymous" in lists that indicate gift levels but agree to be listed where no giving levels are indicated.We/I prefer to be listed as Anonymous in all published lists.

Name(s) to appear on the plaque

This is in

honor of

memory of

Name(s) in honor/memory for publications (will not be included on the plaque)

Name(s) as you want them to appear in lists with no giving levels

Pledge Amount (Total Gift)

Frequency

Payments can be made over 3-5 years. There will be another option for number of payments. For a one time payment, please select the number 1.

Number of payments

Start date of payment

Note and special requests regarding this pledge

Payment Information

Today's Payment

Payment options

Transfer of Stock

Name as shown on Credit Card

Credit Card No.

Exp. Month

Exp. Year

YYYY

Verification Code

Bank Routing Number

Bank Name

Bank Account Number

Bank Account Type

Account Holder Name

Billing Street

Billing City

Billing State

Billing Zip Code

Check Payment Information

To pay by check, you may mail a check made out to Mount Zion Temple, PO Box 16367, St. Paul, MN 55116-0367

I agree to mail a check.

ContactID

AccountID

Authnet_Hidden_Fields

Gateway Amount