Support Capital Campaign Phase II

YES! I want to support the St. Anastasia Church & School Capital Campaign.

Contact Information:

Title Dr. Mr. Mrs. Ms. Mr. & Mrs.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Mobile Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Acknowledgement I/we prefer my/our gift to be anonymous

Total Gift Amount: REQUIRED Please fill out this field. Please enter valid data.

Commemorative Sponsorship Opportunities:

I/we would like to be recognized in promotional materials and/or the Wall of Honor as: Please enter valid data.

I/we would like to be contacted personally to learn more at the following number and/or email: Please enter valid data.

I/we are interested in hosting a reception at our home to share awareness of the campaign. Please contact me at the following number and/or email: Please enter valid data.

Payment Options:

One-Time Payment Mail check to St. Anastasia Capital Campaign Online (follow link on next page)

Pledge Mail checks to St. Anastasia Capital Campaign Online (follow link on next page)

Pledge Details (Include initial payment amount and desired monthly payment)

I want to double the impact of my gift. My or my spouse's employer offers an employee matching gift program. Contact me for more details at the following number and/or email:

All contributions of $250 or more will be recognized on the Wall of Honor

You will receive an acknowledgement letter for tax purposes (IRS TAX ID (65-0926368)