Stewardship Information Please fill out the required information below. Step 1 of 3 33% Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Suffix Occupation Birthday* MM slash DD slash YYYY Phone Number*HomeCellWorkHome Phone* Cell Phone* Work Phone* Email* Enter Email Confirm Email Name of Spouse Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Suffix Spouse's Occupation Birthday MM slash DD slash YYYY Spouse's Phone NumberHomeCellWorkHome Phone Cell Phone Work Number Email Enter Email Confirm Email Mailing 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 Do you have another address?* Yes No Second Address (Snowbirds)* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Dates At Second Address MM slash DD slash YYYY BeginingDates At Second Address MM slash DD slash YYYY End DateEmergency Contact Name First Last Emergency Contact NumberHomeCellWorkHome Phone Cell Phone Work Number Children and InterestsPlease fill out your child's information and indicate how you would like to offer your time and talents.Do you have children?* Yes No How Many Children Do You Have?*Choose oneOneTwoThreeFourFiveSixSevenChild 1* First Last Dependent Children's NameBirthday* MM slash DD slash YYYY Child 2* First Last Dependent Children's NameBirthday* Month Day Year Child 3* First Last Dependent Children's NameBirthday* MM slash DD slash YYYY Child 4* First Last Dependent Children's NameBirthday* MM slash DD slash YYYY Child 5* First Last Dependent Children's NameBirthday* MM slash DD slash YYYY Child 6* First Last Dependent Children's NameBirthday* MM slash DD slash YYYY Child 7* First Last Dependent Children's NameBirthday* MM slash DD slash YYYY Time & Talent homebound office cooking/kitchen work prepare prosforon landscaping fundraising events phone calls decorating handyman tasks clean-up projects other Other Pledge InformationPlease fill out your Pledge amount. Remember that it takes each family $1422 to support the expenses of St. Demetrios.Pledge Per Year* Pledge Year is January 1st to December 31st. Please specify the donation amount for the entire calendar year.I wish to have my credit card charged* One Time Full Amount Quarterly Monthly Note: Your credit card will be charged January, April, July and October of the given year.Note: A pledge of $1422.00 made on January 1st would be $118.50 per month. If the pledge of $1422.00 is made after January, the installment amount will be recalculated. Example: A $1422.00 pledge made in July would be $237/month (July through December). Δ
