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Northlake Pledge Form for FY2018
Northlake Unitarian Universalist Church
308 4th Ave S., Kirkland, WA 98033
Phone: (425) 822-0171

Please submit your pledge to the church electronically or on paper by May 7.

Financial contribution pledge for the period July 1, 2017 - June 30, 2018

I/We intend to pay this pledge in full by June 30, 2018. Modification can be made at any time by notifying the church.

First name
Your answer
Last name *
Your answer
Email address *
Your answer
Mailing address *
Your answer
Home phone *
Your answer
Mobile or work phone
Your answer
My/Our pledge is $______ PER MONTH for the period of July 1, 2017 - June 30, 2018. *
Your answer
Payment will be made: *
You can pay by electronic withdrawal. Monthly electronic payments are easy, convenient, and secure.
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