Cathedral of the Blessed Sacrament Building Campaign

GIFT | PARISHIONER PLEDGE FORM

Please do NOT complete this form in BLOCK CAPITALS

Donor details

Select from the dropdown which parish you a member of within the Catholic Diocese of Christchurch? (leave blank if not a parish member)

Organisation or Trust name (only enter if organisation is making the pledge/gift)

Donor/Person's/contact name(s) *

First name

Last name

How would you like us to address you? First or nick name only

What name(s) would you like on your receipt(s)? *

Person or Household Address

Address line 1

Address line 2

Address line 3

Address line 4

Town/Suburb

City

Postcode/Zip

Cell phone *

Home phone

Email address *

Gift | Pledge Information

Amount

$5.00
$10.00
$20.00
$50.00
$100.00
$250.00
$500.00
Other
$

How often?

One time

Weekly

Every 2 weeks

Once per month

Every 2 months

4 Weekly

3 Monthly

6 Monthly

Annually

First payment date

Last payment date

Total pledge

No commas in amount please

Total amount

Pay/Donate method

Stripe manages credit and direct debit payments

Credit card

Direct Debit

Recurring Automatic Payment
Make deposit to account
Bank account details will be emailed once pledge form submitted

One off bank transfer
Make deposit to account
Bank account details will be emailed once pledge form submitted

An email tax receipt will be issued within 2 wks for a single gift and after the 31 Mar for recurring gifts

Bequests

Also I would like more information on leaving a gift in my will

Yes

Signature

Today's Date

Payment Details

I/we will pay by bank transfer as per Gift | Pledge Information above.

Account Details: Catholic Diocese of Christchurch Bank Acc: 03 0802 0948733 22 or 022

Please include the following: Particulars (Your surname & initials) Code (BLESSBLD) Reference (Phone number)

Thank you for your generosity. Gifts are tax deductible to the extent allowed by New Zealand law.
The Catholic Diocese of Christchurch is registered with Charities Services (CC33341). Tax receipts will be sent to your email unless advised otherwise

By completing this pledge form, you agree to the collection and use of your personal information by the Catholic Diocese of Christchurch and Parish & Fundraising administration.
Your information will be kept confidential, securely stored, and only accessible by authorised Diocesan and parish staff and parish volunteers involved with the campaign. We will not share
your personal data with third parties without your explicit consent, except as required by law. You have the right to access and correct your information at any time by contacting us.

Posting this form

If you wish to print and send this form please return to: Freepost 91749, The Catholic Diocese of Christchurch,
PO Box 4544, 8140, NZ
Phone +64 3 366 9869 Email giving@cdoc.nz Web www.cdoc.nz

Only push CONFIRM and SUBMIT once please