JOHANNESBURG Donor and Pledge Update Form

Donor Information Update Form
Name On File *

First Name Middle Initial Last Name
Donor ID
Email
I would like to update the following (check all that apply)

Name Address Email Phone Statement Preference Bank Account Info (for ACH drafts) Credit/Debit Card Number
If you would like to make additional changes to an existing pledge (such as giving method, frequency, staff person or amount) please contact our Finance Manager at (704) 814-1032 or cocsupport@campusoutreach.org and we would be glad to assist you!
Update Name
Updated Title *
Mr./Mrs./Ms./Mr. & Mrs./etc.
Updated Name *

First Name Last Name
Update Address

Update Email
Updated Email *
Update Phone
Updated Phone *

Area Code Phone Number
Phone Type *
Update Statement Preference
Statement Preference *
Current Email *
Update Current Pledge
Staff/Fund Designation *
Gift Amount *
Gift Frequency *
Update Bank Account
Bank Name *
Routing Number *
Account Number *
Update Credit/Debit Card
To update or change a credit or debit card number associated with an existing pledge, please call (704) 814-1052.

Alternatively, you can complete this secure form with your new information (please be sure to check the "monthly gift" option if you are updating a card associated with a recurring monthly gift).

Once your updated card info is received, your next gift will automatically include any "missed" gifts unless you indicate otherwise.
Other Comments
Card Type *
Updated Card Number *
Exp. Month *
Exp. Year *
Security Code *
Pay Method *
We are only able to accept ACH Bank Drafts on a monthly basis.
Checks can be made payable and mailed to:
Campus Outreach

800 Fullwood Lane

Matthews, NC 28105
Should be Empty:

Donor Information Update Form