St. Anthony's Church Geothermal Pledge Form

Please select an option and fill in the details:

_____ Option 1:     One Time Gift Total:   $_______________

_____ Option 2:     2 year Pledge Total:    $_______________

                                                                                                                                                           Annual/Monthly/Weekly             $_______________

                                        (Circle One)

_____ Option 3:     3 year Pledge Total:    $_______________

                        Annual/Monthly/Weekly     $_______________

                                        (Circle One)

_____ Option 4:     Not able to pledge at this time but please

contact me later:   _______________

                                         (Date)

Name:     ___________________________________

                                 (Please Print)

Signature: ______________________________  Date: ______

Return to:     

St. Anthony's Church

P.O. Box 98

Hoven, SD 57450