Harvest Campaign

Incarnation Vicar Salary and Pension
Fundraising Campaign Three-Year Pledge Form

Name(s) and address (please print): ________________________________________

_____________________________________________________________________________

My/Our donation to this campaign will be ___________________

or

I/We pledge ______________________ per year for three years to this campaign

for a total of ______________________________.

I/We will pay this pledge in weekly, monthly, quarterly, yearly payments.
(Please circle one.)

Signature ____________________________________________

Date____________________
(This pledge may be revised or cancelled if circumstances require.)

This pledge form and donations may be put in the Sunday collection basket, or mailed to The Episcopal Church of the Incarnation, 3257 Lohr Rd. Ann Arbor 48108. Checks should be made out to “The Episcopal Church of the Incarnation” and in the memo please write “Vicar’s Retirement”. Those making pledge payments will receive a financial statement at the end of every calendar year.