2025 Electronic Pledge Form
Please fill out this form and click submit (all fields are required). Questions should be directed to: financialsecretary@rehobothcongregational.org
Name
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
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OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
*
This address will receive a confirmation email
Phone
*
In 2025, I Pledge To Give A Total of:
*
Choose Your Giving Increments
*
Please select one option.
Weekly (52)
Twice Per Month (24)
Monthly (12)
Annual (1)
Select Option
Weekly (52)
Twice Per Month (24)
Monthly (12)
Annual (1)
I Pledge To Give In Increments In The Amount of:
*
What Day(s) of The Month Would You Like Your Funds Withdrawn?
*
Please double check that the
number of increments chosen, multiplied by the increment amount, equals your total 2024 pledge.
Electronic Giving
Would You Like To Cover Processing Fees? (Fee Is 1% + $0.25 Per Transaction)
*
Please select one option.
Yes
No
Select Option
Yes
No
Checking or Savings Account
*
Please select one option.
Checking
Savings
Select Option
Checking
Savings
Routing Number
*
Account Number
*
Please Upload A Voided Check (Checking Account) or Savings Statement (Savings Account) For Proof of Account Ownership
*
Upload (8MB)
Authentication
Please Type Your Name In This Box - It Is Considered Your Digital Signature
*
Date You Signed This Form
*
Submit
Description
Please fill out this form and click submit (all fields are required). Questions should be directed to: financialsecretary@rehobothcongregational.org
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