Shine – Giving Commitment Card * = Required Field Name* First Last Email* PhoneAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code In 2019, I / we commit to give*Weekly - 52 installmentsMonthly - 12 installmentsAnnually - 1 installmentOtherRecurrence52 weekly installmentsWeekly amount* Total $0.00 Recurrence12 installmentsMonthly amount* Total $0.00 Recurrence1 installmentAnnual amount* Total $0.00 Other- Please provide details*Signature* First Last Date* Date Format: MM slash DD slash YYYY This iframe contains the logic required to handle Ajax powered Gravity Forms.