(Note: using the enter or return key submits this form (often before you are finished) so use your tab key or mouse to move around the page. If you accidentally submit the form early, you will just get an error message because the final check box below is not checked and you need only click the back button or back arrow to return to this page to finish completing your information.)

Step 1. Information about you

• Name/Names:          
• Mailing Address:    
• Email Address(es):  
• Home Phone(s):       
• Work Phone(s):        

Please check here if you DO NOT give permission to use the above information to update the church directory.

Step 2. Information about your pledge

I/we wish to pledge/contribute the total amount of $ annually in support of First Unitarian Church of Omaha’s twelve-month operating budget, May 1, 2010 - April 30, 2011.

I/we wish to pay: monthly, quarterly, annually, or other
I/we wish to pay by cash/check, stocks, or automatic deduction (if you don't already have an automatic deduction established, please print and complete form)

Step 4. Submit your pledge

It is my/our intent to complete payment of this pledge by April 30, 2011. I/we understand that if circumstances change, the above amount may be revised by calling Rev. Kate Rohde or the chair of the Finance Committee.

Typed Signature  Typed Signature

Check here when your registration is complete and then click ==>     You will receive a confirmation email.