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
First name
Last name *
Email address *
Mailing address *
Preferred phone *
Alternate phone
My/Our pledge is $______ PER MONTH for the period of July 1, 2018 - June 30, 2019. *
Payment will be made: *
Affirmation of pledge in lieu of signature
You can pay by electronic withdrawal. Monthly electronic payments are easy, convenient, and secure. *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy