Northlake Pledge Form for FY2019
Northlake Unitarian Universalist Church
308 4th Ave S., Kirkland, WA 98033
Phone: (425) 822-0171
Email: office@northlakeuu.org

Please submit your pledge to the church electronically or on paper by May 13.

Financial contribution pledge for the period July 1, 2018 - June 30, 2019

First name
Your answer
Last name *
Your answer
Email address *
Your answer
Mailing address *
Your answer
Preferred phone *
Your answer
Alternate phone
Your answer
My/Our pledge is $______ PER MONTH for the period of July 1, 2018 - June 30, 2019. *
Your answer
Payment will be made: *
Required
Affirmation of pledge in lieu of signature
You can pay by electronic withdrawal. Monthly electronic payments are easy, convenient, and secure. *
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