FCC 2021 Sustaining Gift Form

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

Please complete this form by November 1, 2020, to inform us of your financial pledge to FCC for the year ahead!

After you complete this form, please set up your sustaining gift payments to begin in January 2021 via the FCC Giving Page, or your personal bank.

Further instructions will follow in the confirmation message you will receive upon submission of this form.

Name *

Address *

Email *

Home Phone:

Cell Phone: *

2021 Total Annual Sustaining Gift Amount* *

Frequency of Giving and Amount: *

Weekly (total annual sustaining gift divided by 52 weeks)

Bi-Weekly (total annual sustaining gift divided by 26 weeks)

Monthly (total annual sustaining gift divided by 12 months)

Quarterly (total annual sustaining gift divided by 4 quarters)

Annually (one time gift)

Other:

Method of Giving: *

Give Plus (online auto-deduct) to use credit/debit card or an electronic ACH payment from your bank account

Bill pay through your bank account (your bank sends the check)

Personal check

Other:

Clear form

Never submit passwords through Google Forms.

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

Forms