Pledge Form

East Shore Unitarian Church Online Pledge Form

To pledge online, please fill in the details requested below. When complete, press the submit button at the bottom of the page and the information will be sent to East Shore's bookkeeper. To preview what will be sent, hit the preview button at the bottom of the page, and print for your records. You will also receive a confirmation e-mail from this submission. If you are unable to print the confirmation, be sure to select the check box to request a copy be sent to you for your records.

Name
First and Last Name (Individual or Family)

Address
Street or PO Mailing Address

City
City of Mailing Address

State

Zip Code
Mailing Zip Code

Contact Phone Number

E-mail
Email address where your pledge confirmation will be sent

2012-2013 Operating Fund Pledge (Total Amount)
Please enter the total amount pledged for the year.

2012-2013 Sanctuary Pledge (Total Pledge Amount, One Year)
Please enter the total amount pledged for the year.

2012-2014 Sanctuary Pledge (Total Pledge Amount, Two Years)
Please enter the total amount pledged for the two-year period.

2011-2012 (Current Year) Operating Fund Pledge (Total Amount)
Please enter the total amount pledged for the year.

Schedule of Payments
Please indicate how often payments will be made.

Details of Pledge Frequency

Use same payment method as last year?
Please check if you wish to continue the same payment method as last year.

Click for YESClick For No

Please contact me about automatic withdrawal method
If you would like information on paying your pledge through automatic withdrawal, check this box.

Click for YESClick For No

I have remembered East Shore in my estate plans
Please check if you have include East Shore in your estate plans.

Click for YESClick For No

I would like someone to contact me about a bequest
Please check this box if you would like to be contacted about including East Shore in your estate.

Click for YESClick For No

Message to the Bookkeeper
Notes to the bookkeeper concerning your pledge. Do NOT included any personal financial information in this area.

or Reset

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