Campaign Recognition — The Peoples Church

RECOGNITION

In the form below, please indicate how you would like to be recognized for you contribution. This information is important for promoting the campaign, our records, and for respecting your privacy.

Name (Please include any relevant titles you would like included in your name recognition, i.e. Dr. & Mrs. John Doe, John & Mary Doe, Dr. Mary Doe, etc.)

First Name

Last Name

Email

Phone

(###)

###

####

Contribution made (mark all that apply):

A one time, or recurring donation

Pledge

Another contribution (Cash or securities, 401k, IRA, etc.)

Who is being recognized:

This is a joint gift with my spouse/significant other.

This contribution should be credited to my individual record.

Desired form of listing for any relevant donor recognition (i.e., Dr. & Mrs. John Doe, John and Mary Doe, etc.)

I would like to be contacted to learn more about recognition opportunities.

I/We wish our gift to be...

Visible as a role model to others. Please list on website and elsewhere.

Completely anonymous. (Name will only be provided to donor committee for acknowledgement.)

Please list any additional information or questions here:

Signature (Full, legal name)

By filling out this portion of this form, I recognize that I am signing a document that will be used by the personnel of The Peoples Church for the purposes of the church's and Capital Campaign's financial records.