Confidential Pledge Form 2025-2026

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Our house thrives thanks to your generous gifts.

Email *

Last name(s)

First name(s)

Additional email (if desired)

Phone number

Address

Please let us know your intention for the 2025-2026 fiscal year (July 1, 2025 - June 30, 2026):

I/we re-affirm my/our membership and pledge support for Wy'east for 2025-2026 in the amount below.

I am/We are not yet Member(s) and would like to support Wy'east with a pledge for 2025-26 in the amount below.

I/We remain committed members of Wy'east and request an exemption of our pledge for the 2025-26 fiscal year. (Please schedule a conversation with Rev. Leslie Becknel Marx so we can be sure we are supporting you in every way possible.)

I/We are no longer interested in being involved at Wy'east. Please remove me/us from your membership rolls.

Clear selection

Total amount for 2025-2026

I/We will make payments using the following method:

Check (including Bill Pay, which sends a check from your bank automatically)

Online (from a credit or debit card)

Distribution from an IRA

I would like help setting up Bill Pay or Direct Deposit.

Is there anything else you would like the Canvass Committee to know?

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms