Instructions: Please complete the form below and click on the submit button. Your pledge information will be sent to the Stewardship committee. If you would prefer to print a copy and mail or personally deliver it please fill in the information and select the Print this form for your records button.
Your Name: Adults in the household (members or friends):
Do you have children in the RE programs? How many? 0 1 2 3 4 5 6 Names?
Telephone: E-Mail:
Address:
Please make sure that each member of the household who would like to contribute his/her time and talent to support and enrich the life of the UUCLV community completes a Time and Talent Opportunities form.
Before completing your financial commitment, please consider the Leadership Giving Guidelines.
Pledge I / We pledge $ to the financial support the UUCLV for the fiscal year (July - June): 2009 - 10 2010 - 11
To help with planning our financial obligations, please indicate amount and timing of your donation by choosing one of the following:
Amount: $ and Frequency: Weekly Monthly Quarterly Alternate
If you chose Alternate Please specify Alternate Amount: $ and Alternate Frequency:
Optional: Please answer the following questions by choosing Yes or No
Does your commitment meet the Leadership Giving Guidelines at the Helping, Supporting or Sustaining level? Yes No
If your commitment meets the Giving Guide may be publish your name(s)? Yes No (The actual amount or your commitment will not be published)
If the option were available, would you prefer to fulfill your financial commitment by periodic (or one-time) credit card payments? Yes No
If you have entered an email address, may we send your pledge statements by email? Yes No
(erases all data inserted up to now )
before you submit it.
Before you click 'Send Form' please type the letters and numbers found in this image into the box below exactly as they appear. This is case sensitive.
