Endowment Deposit Form

Mr.   Mrs.   Ms.    Dr.   Other:

First Name:
Middle Initial:
Last Name:
Street Address:
City:
State:
Zip:
Home Phone:
Business Phone:
Cell:
Email:

IMPORTANT:  Please contact the church office (585.586.5675) prior to sending money or transferring securities.

Check Amount: $      Approximate: $

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Stocks:  
   # of Shares: Company Name:   Value: $

   # of Shares: Company Name:   Value: $

   # of Shares: Company Name:   Value: $
   # of Shares: Company Name:   Value: $

 

Mutual funds:    
   # of Shares: Company Name:   Value: $
   # of Shares: Company Name:   Value: $
   # of Shares: Company Name:   Value: $
 

Other Deposits:  (i.e. Bonds, life Insurance, real estate, collections etc.)
   Description:   Value: $
   Description:   Value: $
 

If transferring securities or mutual funds through a broker, please give your broker the  account information found in Instructions for Delivery of Securities.
 

To:  (Dollar amount or Number of shares)

                 General Endowment Fund                           Acct. 7990-1873
                 Upper Room Fund                                        Acct. 7990-1733
                 Lifelong Faith Formation Fund                    Acct. 7990-1802
                 Joseph E. Bagale Social Outreach Fund     Acct. 7990-1838

                 Total

 

 My donation is a tribute to someone special:

In Honor of      In Memory of     Other

In the name of:

Please mail an acknowledgement to:

Name:
Address:
City:
State:
Zip:
Country:

 Personal Message:

 

With your permission, your name may be publicly acknowledged on the St. Louis Church Endowment web site (annually) and appear as an Endowment Fund Donor or Memorial Gift Donor to recognize you (and your beloved) and your generosity

Yes. I grant permission.
No. I request anonymity.