Buckhead Christian Ministry Business Office
2847 Piedmont Road
Atanta, GA 30305
janevonseggern@bcmatlanta.org

Date______________________

I am pledging $_________* to be paid __ monthly __ quarterly __ annually beginning on this date ___________.

OR

I have enclosed my gift of $________* to help my neighbors in need.

* Gifts of $1,500 or more will be identified in the Annual Report unless otherwise requested.

Name (as you would like it to appear)*: _______________________________________________
Mailing Address: _______________________________________________________________
Phone number (in case we need to contact you about your gift) :______________________
Email Address: _________________________

Please charge my __ AmEx __ Visa __ MC
Account #_______________________________ Expiration # _______
Billing Address if different than above: _____________________________________________

If you prefer to make your credit card donation by phone, contact Jane von Seggern at janevonseggern@bcmatlanta.org or 404.239.0058 ext 125

HONOR or MEMORY

This gift is being given in Honor of _____________________________________________.

This gift is being given in Memory of ___________________________________________.

If you would like BCM to notify the person being honored by your gift, or the family whose loved one the gift is given in memory of, please provide the following information:

Person to notify: _____________________________________________

Mailing address: ______________________________________________

Thank you!

BCM is a 501(c)(3) charitable organization, and all donations are tax-deductible as allowed by law.