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A Campaign for Christ Church and the Episcopal Diocese of Massachusetts I/We subscribe a total sum of $______________________ to be paid over ____ years

in recognition of the need to revitalize and restore Christ Church, Waltham and the Together Now Campaign for the Episcopal Diocese of Massachusetts. X______________________________________ Signature 1 X______________________________________ Signature 2 ________________________________________ Print or Type Name ________________________________________ Print or Type Address

____________________________ Date

____________________________

Date ____________________________ Home Phone ____________________________ Fax / E-mail

GIFT/PLEDGE SUMMARY Total Pledge Amount: $ _________________ To be paid as follows: Year One __________ Year Two__________ Year Three_________ Year Four__________ Year Five__________

$ _________________ $ _________________ $ _________________ $ _________________ $ _________________

Paid Here With:

$ _________________

Balance Due:

$ _________________

Pledge Start Date (required): __________________ Please note your preferred pledge payment reminder schedule: __________ Annually __________ Semi-Annually __________ Quarterly __________ Monthly

I would like to make my gift:  In celebration of: ______________________________________________________________.  I would like to remain Anonymous as a contributor to this campaign. Please make checks payable to: Together Now/EDOM In the memo line reference: Christ Church, Waltham

All payments are tax deductible to the full extent allowed by law.

Please return this form to Campaign Office Episcopal Diocese of Massachusetts 138 Tremont Street Boston, MA 02111

Capital Campaign Pledge Card  

Download to make a pledge to our capital campaign