2011 Commitment Form

You have chosen Community Unitarian Universalist Church because you value its presence in your life and in the wider community. Your meaningful financial commitment can move us closer to our vision for our church community.

*=required field

Donor Name:*
Second Donor Name:
Best Telephone:*
Best Email Address:
I/we commit the following total annual amount to support the operating budget for the 2011-2012 fiscal year (beginning June 1, 2011): (enter amount in box below)
Total Annual Amount:
Use the following schedule for my/our commitment:	Monthly Lump sums in the months of (enter months in box below) Annual payment on approximately (please enter date in box below)
I/we will pay via:	Bank draft set up by Community Church (authorization form needed) Bill pay set up through my bank Credit card Donation of stocks, bonds, or securities Personal check
The amount is a suggested fair share financial commitment.	Yes No
You may list me as a suggested fair share donor.	Yes No
Additional Information:	Please contact me to schedule a visit. I am not able to make an annual commitment at this time. I do not wish to make an annual commitment but plan to contribute in the future.
Signature: /s/ (print name(s))*
If your circumstances change over the course of the upcoming year and you would like to revise your financial commitment or method of payment, please notify the Treasurer.
	To prevent spam, please tell us: What is the sum of three and eight?*

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