Immaculata Existing Donor Pledge Update

I would like to increase my giving for the Immaculata or update my payment information

We invite you to prayerfully consider increasing your giving as this magnificent project nears completion. Together, we can echo the generosity of Our Lady’s “Fiat!” and honor Her by building a home worthy of the Immaculata.

First Name *

Last Name *

Street Address *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Phone Number *

Country *

Email Address *

I would like to move up to the next guild level.

I would like to increase my giving in the following way (amount monthly, total amount, one time gift, etc.):

I would like to increase the amount of my remaining pledge payments by:

$5

$20

$50

Other amount Other amount

10%

33%

Other percentage Other percentage

I can't increase my regular payment, but please add additional pledge payments to those I have remaining:

6 additional payments

12 additional payments

Specify number of additional payments Specify number of additional payments

An additional one-time gift is enclosed:

Please contact me to discuss how I can increase my giving.

Call me

Email me

No changes to my pledge.

I am only changing my payment information.

If you have any questions please notify the Immaculata Church Project by email (accounting@smac.edu) or by phone (785-437-2471 x110).

Payment Information *

Use same banking information currently on file with the Immaculata Church Project

I would like to be contacted for my information

Enter new payment information

Payment Information *

I would like to be contacted for my information

Enter new payment information

Payment Options *

Bank Draft (preferred…no fees incurred)

Cash or Check

Debit or Credit Card (SMAC incurs a 3% fee)

Name on Card *

Debit / Credit Card Type *

Debit / Credit Card Number *

Expiration Date (mm/yy) *

Name on Account *

Account Type *

Financial Institution *

Routing Number *

Account Number *

If you would like to donate with cash or a check please mail your check (made out to Immaculata Church Project) to 200 E. Mission Street, St. Marys, KS 66536, or drop a check or cash off at the switchboard.

Check here if you would like us to send you payment envelopes.

Authorization

This authorization is to remain in full force and effect until St. Mary’s Academy & College has received written notification from me (or any authorized account signer) of its termination in such time and manner as to afford a reasonable opportunity to act on the request.

*

I hereby authorize the Immaculata Church Project to initiate a one-time, monthly or annual debit (as indicated previously) to my banking account, debit or credit card as indicated previously.

Type full name here *

Signature *

clear

Date * +

Please note additional information (if any) here

Father Shyne League	Foundry Guild	Goldsmiths Guild	Stonecutters Guild
Guild of St. Luke	Musicians Guild	Carpenters Guild	Please contact me about my options.