Cathedral of the Blessed Sacrament Building Campaign

GIFT | PARISHIONER PLEDGE FORM

Which parish are you a member of? (leave blank if not a parish member)

Donor details

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

Person's/contact name *

First name

Last name

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 *

An email receipt will be issued immediately for a single gift and on the 31st March for recurring gifts

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

4 Weekly

3 Monthly

6 Monthly

Annually

First payment date

Last payment date

Total pledge

Pay/Donate method

Credit card

Automatic Payment
Make deposit to account
See bank account details below

Bequests

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

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