Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Pledge Amount *

I pledge to contribute

$40

$75

$100

$240

$500

$1000

OTHER

I will complete this pledge by... *

MM

DD

YYYY

I'd like to contribute with the following payment schedule: *

One-Time

Quarterly

Monthly

OTHER

I will make payments through: *

Gathering Ground's website (https://gatheringround.org/donation)

UCUCC's website (please designate your gift by selecting “Gathering Ground” from the dropdown menu on the giving page: https://www.universityucc.org/give/)

Check (make payable to University Congregational UCC with Gathering Ground in the memo line. Please mail to 4515 16th Avenue NE, Seattle, WA 98105)

OTHER

Electronic signature. By checking the box below I commit to my donation pledge. *

Yes! With this gift, I'm helping plant more meaning into this world!