I/We will support Saint Mark's Capital Campaign with total gifts of $ .

Of that amount,

I/we will make a one-time gift before July 2012 of

$

and then

I/we will make gifts for 3 years beginning July 2012 as follows:

$ each week for 156 weeks month for 36 months quarter for 12 quarters year for 3 years

This is an Individual Estimate OR a Joint Estimate.

Individual or Spouse/Partner #1

First name:

Last name:

Street Address:

City: State: Zip:

Phone: Email:

Spouse/Partner #2 - ONLY if you selected Joint Estimate:

Note: Selecting Joint Estimate will combine the financial records of the two people listed.

First name:

Last name:

Phone: Email:

Please contact me:

I am interested in contributing through a recurring Electronic Funds transfer (EFT). .

I may provide for this Campaign in other ways (stock transfer, etc.).

My employer provides matching gifts.

I would like for information before making my pledge to the Campaign.

Special information: