Rock Spring Congregational United Church of Christ (UCC)

Primary Contact Information

* Required

First Name *

Last Name *

Street Address *

City *

State *

Zip *

Home Telephone *

Email *

Secondary Contact Information (spouse, etc.)

First Name

Last Name

Email

I/we plan to make the following financial gift to Rock Spring Congregational United Church of Christ for 2009 in support of its ministry and mission:

Total annual gift:*

I/we prefer to make contributions of my/our financial gift:
 weekly monthly yearly

I/we fully understand that if my/our financial situation changes during the year, I/we can change my/our proposed gift by contacting the Rock Spring Church Financial Secretary.

Please check all that apply:
 Please continue my/our participation in the monthly automatic withdrawal plan. Please send me/us information on the monthly automatic withdrawal plan. Please send me/us information on how to transfer gifts of stock, bonds, or other financial instruments, or including Rock Spring Church in my will.

Please note that the information you submit in this form will automatically be sent by e-mail via the Internet directly to the Rock Spring Church Financial Secretary. Your contact and giving information will be kept confidential and will not be captured or used for any other purpose by Rock Spring Church.

Please enter the letters and numbers above*