Pledge / Donation Form
Donor’s Name: ______________________________________
Address:__________________________________________
Phone:___________________ Email:_________________________________________
Donation: $_____________
Levels of Giving (please check one and write amount given or pledged)
Platinum $5,000 - $10,000 ________________________
Gold $1,000 - $4,999 ________________________
Silver $500 - $999 ________________________
Bronze $100 - $499 _________________________
Other __________________________
All checks should be made payable to: SMYRNE FRENCH SDA CHURCH with “Donation for Church Building” in the memo.
Please mail checks to the following address:
SMYRNE FRENCH SDA CHURCH
P.O. Box 42026
Charlotte, NC 28215
Should you choose to pledge your donation, please fill out the information below:
Pledge: $______________(amount) over _________(years)
Signature:_________________________________________ Date:_______________
Thank you for your generous giving for our Building Campaign!