Building for the Future

Printable Statement of Intent/Pledge Form (PDF)

Statement of Intent

I/We intend to contribute - personal, business, and economic conditions permitting - to Lutherlyn's Building for the Future campaign in the following manner:

Your Name

First Name *

Last Name *

Your Spouse/Partner/Associated Firm

Your Spouse/Partner/Associated Firm (if applicable)

Address

Country

Address Line 1 *

Address Line 2

City *

State/Province *

Postal Code *

Phone

Email (Required)

Congregation (if applicable)

Are you a former member of staff? If so, what years/decade?

Pledge Amounts/Example:

$150/month for 36 months = $5,400
$100/month for 36 months = $3,600
$75/month for 36 months = $2,700
$50/month for 36 months = $1,800
$30/month for 36 months = $1,080
$25/month for 36 months = $900
$20/month for 36 months = $720
$10/month for 36 months =$360
$5/month for 36 months = $180

Pledge Amount (Required)

Pledge Amount

Gift Schedule

One time gift
In Equal Installments for 3 years - Monthly
In Equal Installments for 3 years - Quarterly
In Equal Installments for 3 years - Semi-annually
In Equal Installments for 3 years - Annually
Another timetable

with the first payment on/before (date):

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Installment Amount

Other Timetable Details:

Tell us the details about how your gifts will be scheduled

Gift Details (Optional)

I would like my gift to be:

in honor of someone special
in memory of someone special

Person's Full Name

I would like to be contacted by an ELCA Gift Planner to discuss giving to Lutherlyn and other ministries that are important to me through my estate plans.

Electronic Signature

Please type your full name (this will be considered an electronic signature)

First Name *

Last Name *

Birthdate of Signer (Required)

Electronic Signature Verification

Building for the Future Capital Campaign

Statement of Intent