Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I (We) pledge to give: *

Weekly

Monthly

Quarterly

For the Year

I plan to give additional money towards my PC USA Per Capita fee

This fee is for church members, $42 per member, and goes to the Presbytery. Crossroads pays this fee whether you contribute or not.

Yes

No

Do you plan to use an online giving option?

Yes

No, I will either mail in my giving or drop it in the offering basket.