Pledge Form & Contact Information Update

Envelope No. Please enter valid data.

Family LAST Name REQUIRED Please fill out this field. Please enter valid data.

Street REQUIRED Please fill out this field. Please enter valid data.

City, State REQUIRED Please fill out this field. Please enter valid data.

Zip Code REQUIRED Please fill out this field. Please enter valid data.

Best Contact Phone No. REQUIRED Please fill out this field. Please enter a phone number.

Above Phone No. is: REQUIRED Home Land Line Mobile Listed Unlisted Please fill out this field.

MEMBER NO. 1 (Head of Household)

FIRST Name Please enter valid data.

E-Mail Please enter an email address.

Mobile Phone Please enter a phone number.

Mobile Phone is: Listed Unlisted

MEMBER NO. 2

FIRST Name Please enter valid data.

E-Mail Please enter an email address.

Mobile Phone Please enter a phone number.

Mobile Phone is: Listed Unlisted

"My Fair Share Pledge"
to St. Charles for 2023 will be:

(Please Note: This is not a legally binding agreement. It is a statement of what you hope to contribute in 2023.)

Please indicate an amount in ONE BOX ONLY.

WEEKLY: (52 payments)

$ Week Please enter valid data.

MONTHLY: (12 payments)

$ Month Please enter valid data.

QUARTERLY: (4 payments)

$ Quarter Please enter valid data.

ANNUALLY: (one payment)

$ Annual Please enter valid data.

Which payment option is best for you?

Select ONE BOX ONLY

ONLINE GIVING YES

Click here to set up your secure account

ONLINE BILL PAY THROUGH YOUR BANK

Contact your bank to initiate payments to St. Charles

YES

AUTOMATIC FUNDS TRANSFER

St. Charles Business Office will send you an authorization form to complete this option

YES

CREDIT CARD

St. Charles Business Office will send you an authorization form to complete this option.

YES

TRADITIONAL OFFERTORY ENVELOPES

Choose one envelope option:

WEEKLY

You will receive special collections and four/five weekly envelopes each month; one for each Sunday.

YES

MONTHLY

You will receive special collections and three monthly envelopes in January, April, July and October.

YES

QUARTERLY

You will receive special collections and one quarterly envelope in January, April, July and October.

YES

ANNUALLY

You will receive special collection envelopes quarterly and a one-time payment statement in January.

YES

NOTE: Those who select On-line Giving, On-line Bill Pay, Automatic Funds Transfer or Credit Card options will receive special collection envelopes quarterly.

FAMILY MEMBERS REQUIRED Please fill out this field. Please enter valid data.

I want to remain a registered member of St. Charles in 2023.

Member REQUIRED YES NO Please fill out this field.

Comments Please enter valid data.

Roman Catholic, Diocese of Cleveland

St Charles Borromeo

My Fair Share

Pledge Form & Contact Information Update

MEMBER NO. 1 (Head of Household)

MEMBER NO. 2