Concord UU Pledge Form

Thank you for your pledge to Concord UU.

If you have any questions about how to fill out this form or about how to pay your pledge, please contact Assistant Treasurer Lorraine Ellis at wyndwoman@wyndyhill.net

Please use this form if you are making a brand new pledge or changing your current pledge.

Once submitted, your pledge will continue as-is from year to year, until you tell us differently.

If you need to discontinue your pledge entirely, please simply enter "0" in the amount to be given.

Your Information

Name

*

Email

*

This address will receive a confirmation email

Phone

*

This is a

*

Please select one option.

Mobile Phone Number Landline Number

Name of spouse or pledging partner, if applicable

Pledge Details

This is a

*

Please select one option.

New pledge Modified pledge

Pledge Amount

*

Please select one option.

Per Month Per Year

This pledge will begin:

*

Please select one option.

This Month Next Month On August 1 (the beginning of the next pledge year) Other (explain below)

Comments or Special Instructions

By typing my/our name(s) below, I/we understand that this is an ongoing, sustaining pledge that will remain in effect until I/we change it.

*

Today's Date

*

Description

Thank you for your pledge to Concord UU.

If you have any questions about how to fill out this form or about how to pay your pledge, please contact Assistant Treasurer Lorraine Ellis at wyndwoman@wyndyhill.net

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