Member Information
	Member Name(s)[required]:
	Address (City, State, Zip):
	Phone [required]:
	Email:
	Current Financial Contribution Amount:
	New Financial Contribution Amount:		If this is an annual amount, and you have scheduled automatic giving, we would adjust it to reach this amount by June 30, which is the end of our fiscal year.
	These amounts are:	Annual amounts Monthly amounts Neither (describe below)

The church can accept scheduled automatic payments directly from your bank. Many members find this a convenient and practical option - all it takes is a blank check and a phone call to get started. We encourage this over using a credit card, because it saves the church a processing fee. If you would like to participate, please call us at (614) 267-4946, or tell us in the space provided below and we will call you to get the required information.

	Anything else we need to know? Special requests, instructions or information? (fill in below)

revised 11/14/2007