Pledge Form Please fill in all the fields below. We appreciate your generosity and your discernment. Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone Number*Email* Pledge Amount: $*Pledge Frequency:*WeeklyMonthlyQuarterlyAnnuallyWould you like to use our Online Payment system for your pledge?*Our online payment system is very secure and allows you to pay with a debit or credit card or through you checking or savings account. You can use the system for a one-time payment or for recurring payments. Please visit http://ccamherst.org/online-giving/ for more information.YesNot at this timeI am not sure, I would like more information If you would like to set up your pledge as an online payment, or you would like more information about this process please visit our Online Giving page.