Grace to Flourish Commitment

Please complete this form by November 9, 2025.

Name(s)

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Address

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Email

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This address will receive a confirmation email

Phone

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My/Our intended gift commitment over the next three years to the Grace to Flourish campaign totals $

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Please note this commitment is in addtion to your regular giving.

I/We will make our contribution on the following schedule:

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Please select one option.

Weekly Monthly Annually Other (explain below)

"Other" explanation

Starting date

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Weekly/Monthly/Annually Amount $

I/We will contribute in the following way(s)

AUTOMATED RECURRING WITHDRAWAL

Please select all that apply.

I/We will set up an automated recurring gift on Grace's secure giving page I/We would like help setting this gift up for automatic giving

CHECK

Please select all that apply.

I will write a check from my personal or business account.

ASSETS

Please select all that apply.

I will use my IRA to make part or all of my gift I will use Stock to make all or part of my gift I will use a Donor-Advised Fund to make part or all of my gift I will give in another way (please explain below)

"Another way" explanation

Please type your name as your signature

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Date signed

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Description

Please complete this form by November 9, 2025.

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