I/we commit to support the Redevelopment of Driffield Methodist Church as follows:
Please select the desired pledge year: 2016 2017 2018
Updated Pledge: Please check this box if you are updating a previous pledge for the year selected above, or leave the box unchecked if this is your first pledge for that year.
Name: e-mail:
Address:
Post Code:
I pledge to contribute £ every: Week Month 1/4 Year
Payment Method: Cheque Standing Order Direct Debit Other
Comments Any comments you wish to make:
Print a copy for your records. [If you wish to keep a copy of the form, please print it before you click the Send button.]
The pledge goes directly to the church when you click the Send Form button below.
If you wish to submit a printed copy of this form, instead of submitting it online, please sign and date the form below and send to: The Treasurer, 52 Westgate, Driffield, East Riding of Yorkshire,YO25 6TJ.
Signature: Date:
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Confidentiality: Driffield Methodist Church believes that your privacy is important. Information collected using this form is limited to our own use only and will be used for the sole purpose of registering your pledge to contribute to Driffield Methodist Church Redevelopment Fund. This information will not be communicated to, or shared with, any other individual or agency.