Secure Pledge Form

* * * Secure Pledge Form * * *

"Any church which does not inspire love has a hidden altar which is not serving the purpose for which God intended it. I must found His church on you because you who accept me as a model are literally my disciples. Disciples are followers, but if the model they follow has chosen to save them pain in all respects, they are probably unwise not to follow him." (Tx.OrEd.6.12)

Telephone:

Invalid Input

E-Mail:

Invalid Input

First Name:

Invalid Input

Last Name:

Invalid Input

Street:

Invalid Input

2nd Address Line(if needed):

Invalid Input

City:

Invalid Input

State:

Invalid Input

Postal Code/Zip:

Invalid Input

Country:

Invalid Input

Special message or an instruction we need.

Invalid Input

Month to start your pledge:

Invalid Input

Birthday (just month and day - no year):

Invalid Input

Being on the Healing Team means you agree to read the email sent every day (~3 minutes). Healing Team entry level pledge is $1/ day (totals taken monthly).

Healing TeamRegular Supporting Member Invalid Input

Payment Information

Pledge from credit card monthly. (Healing Team must choose this).

I've set up automatic checks to be sent from my bank.

Other method. Please contact us to explain.

Invalid Input

Healing Team Daily Pledge:
$1/day entry level and then any other even dollar amount. Amount computed daily but only taken out monthly.

Invalid Input

Regular Supporting Member Monthly Pledge:
$30/month minimum. If you are over 65 or on SSI you can pledge a minimum of $20/month.

Invalid Input

Fill out all appropriate fields. Send us the information by clicking on the "Send ..." button below. The "Reset" button clears all the fields.

You must choose 1 of 5 ways to pay your pledge.

If pledging by credit card please fill out card number and expiration date.

Card Number:

Invalid Input

Expiration Date:

Invalid Input

(*)

Invalid Input

If you prefer, you can give your credit card information to us by telephone. (United States and Canada only.) Just put "N.A." in the Card Number and Expiration Date fields and make sure you gave us your voice phone number. All International pledges must be paid with credit cards or with checks or money orders drawn on a U.S.A. bank.

For your convenience, this form could be printed, filled out with pen and then mailed to us at the address below.

Menu

About the CMC

ACIM