UUCSS Annual Budget Drive Pledge Form

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

To set up auto-pay after you have pledged, please fill out this form and mail it to UUCSS.

If you have questions, or would like to confirm your previous year’s pledge amount, and would like instead for someone to contact you directly, email us at collector@uucss.org.

Name(s):*

E-mail:*

E-mail confirmation:*

To support UUCSS for the next church year, I/we commit to give a total gift of:*

Phone:

Area Code

Phone Number

How do you plan to fulfill your pledge?

Automatic withdrawal: I am already set up

Automatic withdrawal: I will set up using the Vanco GivePlus app

Automatic withdrawal: I will set it up directly with my bank

Automatic withdrawal: I need the Vanco form to fill out

One single payment by check (please provide month below)

Quarterly payments by check

Monthly payments by check

Other

Month when single payment will be made:

Are there any comments or suggestions that you would like to provide to the church leadership? (If you would like your feedback to be anonymous, please indicate that in your comments.)

Feedback

Commitment:

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 (collector@uucss.org).

Please type your name(s) here:*

Text area: