Automated Monthly Giving

Name*
First Last
Phone*
Best phone to reach you with any questions related to this gift.
Email*
Automated Monthly Giving Amount
- $10/month
- $25/month
- $50/month
- $100/month
- other amount below
Other Amount

please enter any amount greater than $10
I want to donate to this(these) specific fund(s)
- Annual Fund - use my gift where needed most
- Fan the Flame Capital Campaign
- Other-stated below
My designated monthly gift is for:
Credit Card*

MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Address*
Street Address Address Line 2 City State ZIP Code
Please Read:
**Your automated monthly gift will be automatically deducted from your account every month. Depending on your financial institution's transaction rules, this deduction may even occur if there are no funds in your account. To suspend your deduction please contact Seattle Lutheran staff.

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