Information Privacy Notice:

Beulah Alliance Church considers all personal information confidential and will not release it to outside parties or organizations. However, by completing this request, you are providing consent for this information to be used within the church for ministry and other church-related activities.

First Name

Last Name

Email

Phone Number

Address

Giving Number

Your Awaken 3-Year Commitment

Select from the following options:

Monthly gift of:

$

Total 3-year pledge (monthly amount x 36)

$

Quarterly gift of:

$

Total 3-year pledge (quarterly amount x 12)

$

Semi-annual gift of:

$

Total 3-year pledge (semi-annual amount x 6)

$

One-time kickstart gift of:

$

Other:

$

Total sum of my commitment

$

My Pledge Start Date is:

Pre-Authorized Debit

Monthly gifts may be made through pre-authorized bank withdrawal and may be set up by providing bank account information (i.e. void cheque). Your Void Cheque can be emailed to give@beulah.ca. Please include "Awaken Commitment" in the subject line.

Frequency

None Once a month on the 1st Once a month on the 15th Twice a month on the 1st and 15th

PAD Start Date

Signature

Awaken Commitment Form

Form Entry

Information Privacy Notice:

Your Awaken 3-Year Commitment

Pre-Authorized Debit

West Campus

Southwest Campus

BONNIE DOON CAMPUS

Faro De Luz