Immaculata Pledge Card

Please check the League or Guild you wish to join. *

Carpenters Guild ($1,000-$4,999 or between $17 and $83 monthly)

Musicians Guild ($5,000-$9,999 or between $84 and $166 monthly)

Guild of St. Luke ($10,000-$24,999 or between $167 and $416 monthly)

Stonecutters Guild ($25,000-$49,999 or between $5,000 and $9,999 annually)

Goldsmiths Guild ($50,000-$99,999 or between $10,000 and $19,999 annually)

Foundry Guild ($100,000-$499,999 or between $20,000 and $99,999 annually)

Father Shyne League $500,000 and above

Other

Payment Options for Carpenters Guild (Over 5 Years) *

One Time Gift $1,000 - $4,999

5 Annual Payments $200 - $999

60 Monthly Payments $17 - $83

Payment Options for Musicians Guild (Over 5 Years) *

One Time Gift $5,000 - $9,999

5 Annual Payments $1,000 - $1,999

60 Monthly Payments $84 - $166

Payment Options for Guild of St. Luke (Over 5 Years) *

One Time Gift $10,000 - $24,999

5 Annual Payments $2,000 - $4,999

60 Monthly Payments $167 - $416

Payment Options for Stonecutters Guild (Over 5 Years) *

One Time Gift $25,000 - $49,999

5 Annual Payments $5,000 - $9,999

60 Monthly Payments $417 - $833

Payment Options for Goldsmiths Guild (Over 5 Years) *

One Time Gift $50,000 - $99,999

5 Annual Payments $10,000 - $19,999

60 Monthly Payments $834 - $1,666

Payment Options for Foundry Guild (Over 5 Years) *

One Time Gift $100,000 - $499,999

5 Annual Payments $20,000 - $99,999

60 Monthly Payments $1,667 - $8,333

Payment Options for Father Shyne League (Over 5 Years) *

One Time Gift $500,000 and above

5 Annual Payments $100,000 and above

60 Monthly Payments $8,334 and above

Please specify amount. ($ USD) *

Other *

How often would you like this to occur? *

Below you will be asked when you would like to make your gift (a one-time donation or annual or monthly payments) and the method of giving (check/cash, bank draft (preferred) or credit card).

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

Name *

Address *

City *

State *

Postal Code *

Country (if not USA)

Phone *

Email *

Payment Options
*

Name on Card *

Credit Card Type *

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.

For monthly or annual pledges to be paid by cash or check, check here to request a set of monthly or annual payment envelopes to be mailed to you.

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