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2018-2019 Affirmation and Budget Drive Form

Come travel with us!

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

Is this an Update?*

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
2018-2019 fiscal year (June to May) as follows:

Pledge based on last year's commitment:
Other Percent:

-- OR --

This amount:
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)

Please start my/our pledge in the month of: *
This is a Fair Share Pledge (see Fair Share Guide below):*

Fair Share Giving Guide

Method of Payment

I/we will pay:*

Additional Information:

Other Comments:

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 2017-2018 pledge. Write "2017-2018 Pledge" or "2018-2019 Pledge" on the info line of your check to ensure that it is credited to the correct fiscal year.

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