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 OccupationBirthday* 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 OccupationBirthday Spouse's Phone NumberHomeCellWorkHome PhoneCell PhoneWork NumberEmail 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?*YesNoSecond Address (Snowbirds)* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Dates At Second Address BeginingDates At Second Address End DateEmergency Contact Name First Last Emergency Contact NumberHomeCellWorkHome PhoneCell PhoneWork 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?*YesNoHow Many Children Do You Have?*Choose oneOneTwoThreeFourFiveSixSevenChild 1* First Last Dependent Children's NameBirthday* Child 2* First Last Dependent Children's NameBirthday* MM DD YYYY Child 3* First Last Dependent Children's NameBirthday* Child 4* First Last Dependent Children's NameBirthday* Child 5* First Last Dependent Children's NameBirthday* Child 6* First Last Dependent Children's NameBirthday* Child 7* First Last Dependent Children's NameBirthday* 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 AmountQuarterlyMonthlyNote: 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).
