church of influence commitment form

Please Note:  If you submit this form online, it is not necessary to fill out a hard copy.  If you would prefer to fill out a hard copy and submit it to the church, please contact the church office at 763.434.5995.

Name: 

Address: 

City:       State:       Zip Code: 

Phone:       Email: 

Total 16-month gift amount: 
(From March 1, 2008 - June 30, 2009)

I/we plan to give accordingly:

$ weekly (for a total of 70 weeks)
$ bi-monthly (for a total of 32 gifts)
$ monthly (for a total of 16 months)
$ as a one-time gift (please indicate the date of the gift:  )

I would like to give to the Church of Influence fund by a means other than cash. 
Please provide a description in the space provided (also include an approximate value of your non-cash gift):

Electronic Signature: 
(Your commitment is an intention to give only.  The amount of your gift may be changed at any time by contacting the church office.  Please remember that your Church of Influence commitment is above and beyond your giving to the General Fund.)