Form

Form
Donation Form

2022-2023
Date *

Month Day Year
Date
Name(s) *

First Name Last Name
Email *
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
I (we) make this annual financial pledge to High Plains Church UU for the 2022-2023 church year *
Payment options:

Monthly checks Credit card (Donate link on church website) Monthly electronic transfers Yearly Sum Sunday pledge envelope (when attending in person)
Should be Empty:

Donation Form