Sustainable Giving Pledge Form

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I prefer to make my $______________ monthly 10% Tithe or Sustainable Giving monthly pledge by:

_____ Credit card charged automatically beginning of each month by the Hillside Finance Office. Please complete credit card form below. You will receive an email confirmation after each charge.

_____ Charging my credit card manually each month via the recurring contribution option at www.hillsidechapel.org. All contributions on the website are with a secure server and you will receive an email confirmation after each charge.

____ Contributing by cash or check monthly
____ Weekly at church offering during service
____ Mailing check at the beginning of the month with pre-printed Sustainable Giving self-mailing envelope.

Complete all of the following information:

[ ] Children (12 yrs and under) [ ]Youth (13-19 yrs) [ ]Adult

Name: _____________________________________________
Address: ___________________________________________
City: ___________________ State: _______ Zip: ___________
Phone Home: _____________ Phone Work: _______________
Email: _____________________________________________

Please charge my:
___ Amex ___ Visa ___ MasterCard ___ Discover
$___________ monthly
Card Number: ________________________________________
Expiration Date: ______________ Security Code:____________
Signed: ______________________________________________

For assistance, please contact the Hillside Finance Office
at 404-758-6811 x 21
2450 Cascade Road, S.W. Atlanta, GA 30311
www.hillsidechapel.org