2025 Pledge Form
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Pledging as
*
Please select one option.
Family
Individual
Name
*
Partner's Name
Address
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
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OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
Partner's Email
This address will receive a confirmation email
Home Phone
Mobile Phone
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Please do not text.
Partner's Mobile Phone
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Please do not text.
Total 2025 Operating Pledge
*
I am including UUCCI endowment in my end of life planned giving.
*
Please select one option.
Yes
No
I would like more information.
Unsure
Select Option
Yes
No
I would like more information.
Unsure
Submit
Description
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