Financial Commitment Form

Your donation to help support the mission of Lumen Christi Catholic Community is very appreciated.

Date REQUIRED Please fill out this field. Please enter a date.

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

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

Envelope/Donor # (It is helpful if you know this number.) 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.

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

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

I/WE WOULD LIKE TO: REQUIRED Set up a new payment authorization Increase my donation amount Decrease my donation amount Change donation date Change banking information. *Please send a voided check to the Parish Office. Discontinue electronic donation. Please provide at least one week notice. Please fill out this field.

I/We will give, annually: Please enter valid data.

PLEASE CHOOSE A WAY THAT YOU WOULD LIKE TO DONATE: ACH (withdrawal from my checking account - You must submit a voided check to Martha Paar in the main office and see required info below) Credit Card (see Credit Card Pledge button below) Cash or check with parish envelopes Stock / Mutual Fund or IRA/QCD Donation (see button below)

REQUIRED FOR ACH AUTHORIZATION: I authorize Lumen Christi, St. Paul, MN 55116, to process debit entries to my account. I understand that this authority will remain in effect until I provide at least one week notice to terminate.

DONATION FREQUENCY FOR ACH PAYMENTS: Weekly Monthly on the 5th Monthly on the 20th Semi-monthly, 5th & 20th

Date of first donation: REQUIRED Please fill out this field. Please enter a date.

Click here to link to DONATE page for a CREDIT CARD PLEDGE

Email max huber at [email protected] for stock donations

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