2018 Stewardship Pledge Thank you for your financial support! Please return by Sunday December 17, 2017

First name

P: 403.269.8382 F: 403.264.7850

Last name

Please tell us the monthly amount you expect to contribute to Knox in 2018: Knox Ministries1:

$

/month

United Church Mission & Service Fund2: Knox Foundation3:

$

$

1.

Funds Knox ministries including The Next 1100 Days, worship/spiritual develpment, music, staff, program, and building expenses.

2.

Funds the United Church Mission & Service initiatives across the nation and the world.

3.

Investment Fund for capital expenses and the future of Knox United Church.

/month /month

Suggested breakdown: 80% Knox Ministries, 15% Mission & Service Fund, 5% Knox Foundation.

This is how I would like to contribute my pledge (select all that apply): I/we wish to start/continue automated monthly withdrawals (PAR) until I/we advise you to stop. * If you are new to PAR please attach a VOID cheque OR credit card information along with the completed PAR form.

I/we’ll make my/our contribution through the United Way at my/our workplace to benefit from employer donation matching.

I/we would like to contribute by credit card. Please contact me/us about making a donation of stock or other financial instrument.

* To donate by credit card please see the “Donate Now” section of the Knox website.

I/we’ll use Knox donation envelopes. Please provide a set.

Please help us keep our records up to date by providing the following. This information will be used by Knox for administrative purposes and not shared with others outside Knox United Church or the Knox United Church Foundation.

Name Street number/unit Email address

Name 2 (optional) Street name

City

Province

Primary Phone

Secondary Phone

Postal code

PAR Authorization Form (For new PAR donors and to make changes to banking details) PAR Congregation Number: 10010260 Name of church PAR contact: Sue Forsyth Phone number: 403.269.8382

Knox United Church Name of local church

Gift Amount

This gift to the above local church is to benefit:

This donation/payment

Local church:

$

Mission and Service Fund1: Other (Knox Foundation)2:

is made by:

$

1.

$

2.

Individual(s)

Business

Funds the United Church Mission & Service initiatives across the nation and the world. Investment Fund for capital expenses and the future of Knox United Church. Preferred Addressee Street number/unit

Donor Name Preferred Addressee

Street name

Donor Name 2 (optional) Preferred Addressee Donor Name 3 (optional)

City

Email address

Province

Postal code

Payment Option 1: Visa or Mastercard Card number

Expiry date

Name on card

Payment Option 2: Pre-authorized Debit Please attach a VOID cheque I/We request/authorize The United Church of Canada to debit my/our account on the 20th of every month, starting the 20th of ____________________________, 20______. I/we also recognize and agree to the following: •

I/we may change the amount of my/our contribution at any time by contacting our church PAR contact

•

I/we have certain recourse rights if any debit does not comply with this agreement. For example, I/we have the right to receive reimbursement for any debit that is not authorized or is not consistent with this PAR agreement. To obtain more information on my/our recourse rights, I/we may contact my/our financial institution or visit www.cdnpay.ca.

•

I/we waive my right to receive pre-notification of the amount of pre-authorized remittance (PAR) and agree that I/we do not require advance notice of the amount of PAR before the debit is processed.

Signed

Dated

The use, retention and disclosure of personal information collected from this form is done in compliance with privacy legislation, including but not limited to, the Personal Information Protection and Electronic Documents Act (2000, c.5).