Sustaining Partner Pledge Name* First Last Address* Street Address City State/ProvinceAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* In support of the National Service Committee, its vision and mission to foster baptism in the Holy Spirit and in its Strategic Plan I/We would to make the following Sustaining Partner Pledge:Pledge Amount*I wish to make periodic pledge payments of this amount Frequency of Payments*Please choose one from the list below. Monthly Quarterly Semi-Annually Your First Pledge Payment Price: $0.00 This amount will be charged now. Pledges will be paid according to your selected schedule:Payment AmountFrequency (# of payments/year)If you have any concerns, please feel free to contact us at 800.338.2445. We will gladly help!If the NSC publishes a list of donors, how would you like your gift to be acknowledged?* I would like my gift to be considered anonymous. In donor recognition, I would like my/our name(s) to be printed as: Donor Recognition Your Payment Details* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Exp Month010203040506070809101112 Exp Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged.
