Pledge Form

(All entries are required)

Your Name

Address:

City:

State:

Zip Code:

Email Address:

Daytime Phone:

Evening Phone:

Amount: (Total pledge for the year)

Pledge will be paid: AnnuallyQuarterlyMonthlyWeeklyOne-Time Gift

I/We would like to pay in the following manner:
I will set up automatic monthly or weekly billpay to Trinity Buckingham Church with online bankingBy checkStocks or other securities (you will be contacted for further information)Other

Other – Specify:

Note: This is not a contract, only an intentional commitment. If you would like to change your pledged amount during the year either up or down, please call the Church office at 215-794-7921 at any time.