Please continue this pledge for future fiscal years as well, until I/we inform you otherwise.

HOUSEHOLD INFORMATION: *

First Name

Last Name

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Yearly

Quarterly

Monthly

Twice-monthly

Weekly

Please indicate how contribution will be made.

Check - mailed to TUUC with "Pledge 24-25" in the memo line

Credit Card - set up through our church management software "Breeze"

Stock Transfer - contact churchoffice@towsonuuc.org for instructions and at time of transfer

Other - please describe:

MEMBERSHIP STATUS (check applicable status): *

I affirm my status as a Member of TUUC.

I affirm my status as a Pledging Friend of TUUC.

Date *

MM

DD

YYYY

I wish to be contacted by

The Minister

The Caring Committee

The Membership Committee

The Director of Religious Exploration