Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Payment Frequency
*
Monthly (12 payments a year)
Quarterly (four payments a year)
Semi-Annually (two payments a year)
Annually (one payment a year)
I will be paying in
*
US dollars
Canadian dollars
TOTAL pledge amount
*
The amount you plan to pay for the entire year
Amount per payment frequency
*
E.g. If you pledge $200 for the year to be paid quarterly, then that would be $50 per payment frequency.
Payment type
*
CHECK. These will be mailed to BPFNA based on the information (pledge amount and frequency) I have provided.
AUTOMATIC CHECK. These will be mailed to BPFNA based on the information (pledge amount and frequency) I have provided.
CANADIAN BAPTIST MINISTRIES (Only for Canadians).
Submit
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