St. Raphael's Church
and
Saints Philip & James Church
New Commitment
Response Form
Parish
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St. Raphael's
SS Philip & James
First Name
Last Name
Address
City
State
Zip
Envelope Number (If Known)
Email Address
Mobile Phone
Amount of My New Commitment
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$0
$10
$15
$20
$25
$30
$35
$40
$50
$60
$70
$80
$90
$100
Other (enter in next field)
Other Amount
Frequency of My New Commitment
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WEEKLY
MONTHLY
ANNUALLY
Have Not Been Receiving Envelopes, Please Send Them
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YES
Interested in E-Giving, Please Send Information
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YES
SUBMIT COMMITMENT
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