DEDICATED GIVING PLEDGE FORM - St George's Anglican Church

DEDICATED GIVING PLEDGE FORM

Name(s) & Surname

If known, DG Ref Number

(Eg: DG123AA where the last two letters are the initials of your first name and surname). If you do not yet have a DG number, a number will be allocated to you.

Residential Address

Postal Address

Home Phone

Work Phone

Cell

Email *

I pledge the following amount of money for the furtherance of God’s work at St George’s:

Please fill in the amount and tick your choice (R):

Frequency

Per Month
Per Quarter
Per Half Year
Annually

I wish to make my contribution by: (Please tick your choice)

Monthly Stop order - PLEASE NOTE: you need to adjust the amount on your debit order with your bank personally – the church is not able to do this for you
EFT (Electronic Funds Transfer) - Please use your surname and DG number as your reference
Snapscan
Envelope - Envelopes will be provided for monthly and quarterly contributions

Banking Details

Standard Bank - Name: 'Parktown St George', A/C No: 200481606, Branch Code: 000355

POPI Act Disclaimer

We respect your right to privacy and therefore aim to ensure that we comply with the legal requirement of the POPI Act which regulates the manner in which we collect, process, store, share and destroy any personal information which you have provided to us.