CHRIST EPISCOPAL CHURCH
480 Warwick Avenue
Teaneck, NJ 07666
201 833 2824
cecteaneck@optonline.net
www.christchurchteaneck.org
Name: ___________________________
Phone________________________
Address__________________________
Email_________________________
Contribution and Schedule
I/We, the undersigned, hereby promise to contribute a total gift of $ ________________towards the Capital
Campaign for the restoration of the Stained Glass Windows.
□ Enclosed is my/our gift for the full amount.
□ I/We intend to pay this amount on or before _______________ (month and year)
□ I/We agree to make ____ (number) pledge payments according to the schedule below*
(Not to exceed 3 years)
$ ___________________ (amount)
by _____________________ (indicate month and year)
$ ___________________
by ______________________
$ ____________________
by ______________________
*Pledge reminders will be generated in accordance with the schedule you have provided.
□ My employer has a Matching Gift Program, the size of my gift may increase. Enclosed is my employer’s
Matching Gift Form for processing, or contact me for further guidance.
Special Instructions:
□ I/We would like recognition of my/our gift to be listed as follows: ____________________________
□ I/We would like my/our gift to be anonymous.
□ Other
I confirm my understanding that Christ church will rely on my gift or pledge when incurring current or future
expenses or obligations, and with that understanding, I agree to provide the gift stated above.
_________________________________________
Signature
Date
_____________________________________
Signature
Date
Christ Episcopal Church Acknowledgement:
On behalf of Christ Episcopal Church, I accept the terms of this pledge/gift as stated above.
Clare E. Thompson, Senior Warden ______________________________ Date________________
Checks may be made payable to Christ Episcopal Church; Memo: Stained Glass Windows
For additional information, please contact us at 201 833 4502
Contributions are tax-deductible as allowed by law and acknowledged by written receipt.
Thank you for your support