Pledge Form

The Church of Sananda's Eagles
P.O. Box 328
Clarkdale, AZ 86324
USA

Website: http://sanandaseagles.com

PLEDGE FORM

PLEDGER INFORMATION

Name
Street Address
City
State
Zip or Postal Code
Country (if not USA)
Email Address

PLEDGE AMOUNT: (Please pick one and fill in amount of pledge)

	$20 or less per month
	$21 - $43 per month
	$44 or more per month (Pledges of $44 or more per month have access to special features and discounts)
Your Pledge Amount

PLEDGE DATE: (please pick one)

1st of every month

15th of every month

every other week

quarterly (every three months)

twice a year

once a year

Other Please explain here

PLEDGE METHOD


	Check
	Money Order
	Other	Please explain here

ADDITIONAL COMMENTS

	1st of every month
	15th of every month
	every other week
	quarterly (every three months)
	twice a year
	once a year
	Other	Please explain here