Northlake Pledge Form for FY2019
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 13.
Financial contribution pledge for the period July 1, 2018 - June 30, 2019
My/Our pledge is $______ PER MONTH for the period of July 1, 2018 - June 30, 2019.
Payment will be made:
Monthly (preferred, as many NUUC expenses are paid monthly)
As a single payment on (please insert date in next field):
Affirmation of pledge in lieu of signature
I/We intend to pay this pledge in full by June 30, 2019. Modification can be made at any time by notifying the church.
You can pay by electronic withdrawal. Monthly electronic payments are easy, convenient, and secure.
I want to pay my pledge by monthly withdrawal from my bank account. (If you choose automatic withdrawal, we will email you an Authorization Agreement for Automatic Withdrawal form.)
Check here if you are already using this method and want us to continue withdrawing from the same account. In that case, you do not need to provide the bank and account numbers.
I do not plan to set up an electronic payment. I will pay by check or cash.
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