We/I wish to begin/change our pledge to Accotink Unitarian Universalist Church beginning in January February March April May June July August September October November December of 2005 2006 2007 2008 2009 2010

We/I wish to renew our pledge from the previous year Yes No

We/I will increase our previous pledge by 5 percent 10 percent 15 percent 20 percent Remain at Previous Level

We/I wish to make our payment Weekly Monthly Quarterly Yearly

We/I wish to contribute the following amount with each payment:

$0.00 $25.00 $50.00 $75.00 $100.00 $125.00 $150.00 $175.00 $200.00 $250.00 $300.00 $350.00 $400.00 $450.00 $500.00 *Other

*Other - We wish to contribute the following amount:

Youth Pledge (Under 21)

None $10.00 per month $15.00 per month $20.00 per month First Youth Name Second Youth Name

Non-Resident Pledge*

*Receive the church newsletter by email and keep up with AUUC activities and news

Pledge Amount $

Please update your family information:

Your Full Name  

Name of Spouse  

Children (list all)

Address      

City       State Zip

Telephone    

Email 1      

Email 2      

Please list a committee you are interested in serving on.

**Click here to learn about AUUC Committees

First Choice: None Adult Education Caring Circles Children & Youth (CCY) Communication Denominational Affairs Endownment Finance Fundraising Green Round Table Grounds House Human Resources Membership Ministerial Relations Music Nominating Pledge Campaign Rental Social Activities Social Concerns Welcoming Congregation Worship

Second Choice: None Adult Education Caring Circles Children & Youth (CCY) Communication Denominational Affairs Endownment Finance Fundraising Green Round Table Grounds House Human Resources Membership Ministerial Relations Music Nominating Pledge Campaign Rental Social Activities Social Concerns Welcoming Congregation Worship

Third Choice: None Adult Education Caring Circles Children & Youth (CCY) Communication Denominational Affairs Endownment Finance Fundraising Green Round Table Grounds House Human Resources Membership Ministerial Relations Music Nominating Pledge Campaign Rental Social Activities Social Concerns Welcoming Congregation Worship

Are you interested in volunteering to teach in the Religious Education Program? Yes No

Will you volunteer to be a Sunday Greeter? Yes No

Will you volunteer to be a Sunday Usher? Yes No

Will you volunteer to work in the Nursery on occasion? Yes No

Are you interested in singing in the Choir? Yes No

Thank you for your support of Accotink Unitarian Universalist Church