In The City For Good:
Commitment Form

First Names

Last Name

Address

Phone

Yes, we want to contribute!!

Gifts to be paid * Required

As one payment

Over 1 year

Over 2 years

Over 3 years

Our Gift is in honor / memory of :

Name

Relationship

Please notify the following person of my gift in honor / memory of:

Name

Address

Our gift will be matched by:

Name

Address

Gifts of cash, check, credit card, electronic fund transfer, wire or stock are all welcome. You may mail your gift to Our Saviour’s Atonement Lutheran Church at: 178 Bennett Ave, NY, NY 10040. If you have questions or need assistance with recurring gifts, stock gifts or IRA transfers, please contact us at gifts@osanyc.org.

May we publish your name in a list of contributors? (We will not publish individual gift amounts.)

Name to be printed in Campaign report.

I/we wish to remain anonymous.

Members and Friends who contribute $100 or more may have their name or a name in honor or memory engraved on a brick as part of a commemorative walkway that will be installed in the OSA garden.

I would like a commemorative brick and will submit an order form.

I am willing to donate an additional $25 to cover the cost of the imprinted brick.

I do not wish for a brick to commemorate my donation.

To order a commemorative brick online, click here.

We wish to volunteer at a campaign event or project in the future.

Suggestions of individuals or businesses we might contact for a gift:

Thanks for submitting your Commitment!

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In The City For Good: Commitment Form

In The City For Good:
Commitment Form