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2015-2016 Affirmation and Budget Drive Form

Celebrating 40 Years of

Nourishing Spirits...   Working for Justice...   Transforming Lives...


Community Unitarian Universalist Church is both an important part of your life and a valued resource in the wider community. Your financial contribution does more than pay the bills. It is an investment in Nourishing Spirits, Working for Justice and Transforming Lives.

*=required field

This is an update to my/our earlier form:
 
First Family Member Name:*
Second Family Member Name:
Phone number:*
Email Address:*


Membership Affirmation:*


Financial Committment:

I/we commit the following to support the operating budget of the church for the
2015-2016 fiscal year (June to May):

The amount of*
 
is pledged to be paid every*
or other payment period/schedule:
 
for a total Annual contribution of

     (if you don’t want to do the math, we’ll fill this in for you)

to begin in*

or other beginning month (MM/YYYY):
 
This is a Fair Share Pledge:*

Fair Share Giving Guide

I/we will pay via:*


Additional Information:


 
First Family Member Signature:*
 
Second Family Member Signature:
 

If your circumstances change over the course of the upcoming year and you would like to revise your financial commitment or method of payment, please notify the Treasurer. Make sure to complete your 2014-2015 pledge. Write "2014-2015 Pledge" or "2015-2016 Pledge" on the info line of your check to ensure that it is credited to the correct fiscal year.

 
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What is three plus zero?*