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First name:*

Last name:*

Street Address:*

City:*

State:*

Zip Code:*

Home Telephone:*

E-mail:*

Secondary Contact Information (spouse, etc.)

First name:

Last name:

E-mail:

I/we plan to make the following financial gift to Rock Spring Congregational United Church of Christ for 2008 in support of its ministry and mission:

Total annual gift:*

$

I/we prefer to make contributions of my/our financial gift:

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Annually

I/we fully understand that if my/our financial situation changes during the year, I/we can change my/our proposed gift by contacting the Rock Spring Church Financial Secretary.

Please check all that apply:

Please continue my/our participation in the monthly automatic withdrawal plan.

Please send me/us information on the monthly automatic withdrawal plan.

Please send me/us information on how to transfer gifts of stock, bonds, or other financial instruments, or including Rock Spring Church in my will.