Commitment Card
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
My total commitment:
I plan to divide and give my total commitment...
Weekly (156 months total)
Monthly (36 months total)
Annually for 3 years
One time gift
For Asset Gifts, contact Chuck Stanley at
(602)707-5750
or
chucks@nphx.org
Submit
Should be Empty: