Pledge Form UTR

Upon This Rock Campaign
Phase 2 Pledge Form

For more information, contact Campaign Coordinator Debby Dover or Fr. Gregory Golyzniak (719-481-3511).

If this is a new donation inspired by the $50,000 matching grant, please indicate the amount of your donation below. Fill in your name, address, phone and email information then scroll down and click submit. *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Total commitment of $____ (fill in the dollar amount below) *

Method of donation *

cash credit card/ACH check other (for stocks, bonds, mutual funds or any other assets, please contact Debby Dover at 719-481-3511)

If you'd like to set up online donations, you will be directed to the donation processing site when you submit this form. Please deliver cash or checks to Debby Dover in the parish office.

Thank you for your donation. This is a statement of intent and may be altered as circumstances warrant.

Upon This Rock CampaignPhase 2 Pledge Form

Upon This Rock Campaign
Phase 2 Pledge Form