• Donor Information

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  • Salutation REQUIRED (Select One) Deacon Deacon & Mrs. Dr. & Mrs. Drs. Fr. Miss Mr. Mr. & Dr. Mr. & Mrs. Mrs. Ms. Sr. Please fill out 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.
  • Spouse Please enter valid data.
  • Registered Parishioner? Yes No Don't know
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    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

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  • 3-Year Pledge Amount (Annually, Weekly, Monthly) REQUIRED $7,500      $2,500      $208      $48 $6,000      $2,000     $167       $38 $5,400       $1,800     $150      $35 $3,600       $1,200     $100      $23 $3,000       $1,000      $83       $19 $1,800        $600        $50       $12 Other 3-year Pledge  Please fill out this field.
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  • Pledge will be paid: REQUIRED Weekly Monthly Annually One-Time Please fill out this field.
  • Start Date/Date of First Payment: REQUIRED

    When would you like to make your first payment? Three-year pledge period starts when your first payment is made.

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  • Matching Gift option My gift will be matched by my company.
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  • Method of Payment Cash/Check (Payable to "Holy Family of Nazareth" with "Capital Campaign" in the memo line) Credit Card/Auto Withdrawal (Please follow the credit card/auto withdrawal steps in the pages to follow.) Stock/Life Insurance (The Holy Family of Nazareth office staff will contact you for additional information) Other: (fill out below)
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  • Please print your names as you would like it to appear in any campaign recognition materials: REQUIRED Please fill out this field. Please enter valid data.
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