Supplemental Budget Drive Pledge Form

On behalf of our church community, thank you for your commitment to the vision and goals of UUCSS!

Please fill out the form below. If you have questions and would like instead for someone to contact you directly, email us at or you can reach the co-chairs directly (Erik Leaver & Meredith Massey) via the phone and email provided in the church directory.

E-mail confirmation:*
Amount of supplemental pledge:
How do you plan to fulfill your pledge?
Month when single payment will be made:
If you have any special instructions about your pledge, you can add them in the box below.


I/we will make every effort to honor the amount and timing of this commitment, but reserve the right to modify it in the event of unforeseen circumstances, and will notify the collector of any change as soon as possible (

Please type your name(s) here:*