CHRIST THE KING EPISCOPAL CHURCH
Capital Campaign Pledge Form for Rooted and Grounded in Love

In response to the capital campaign needs as expressed by Christ the King Episcopal Church’s Vestry, I (we) pledge a total of $_ to Christ the King Episcopal Church, Santa Rosa Beach, Florida.

$

I (we) would like to complete my (our) pledge as follows: Enclosed here with

$

Balance remaining

$

Please check below how pledge balance is to be paid.

Monthly

Quarterly

Yearly

Yearly amount

$

If yearly, please provide the beginning date.

MM

DD

YYYY

If yearly, please provide the ending date.

MM

DD

YYYY

Other payment schedule:

Fiscal year runs from January 1 through December 31.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Phone

(###)

###

####

Email

Signature

Signature Date

MM

DD

YYYY

My (our) gift is eligible for matching gift funds through:

Check here if you desire additional information regarding tax-wise giving opportunities that are available.

Check here if you wish your gift to remain anonymous.

Thank you for your tax-deductible gift. Please make your check payable to
Christ the King Episcopal Church, memo line: Capital Campaign.

For further information, please contact Travis Meyer, Campaign Co-Chair at
capitalcampaign@christthekingfl.org, or call the church office at (850) 267-3332.