PLEDGE FORM

Thank you for submitting your 2017-2018 pledge form online, and updating your pledge for this fiscal year. After filling out this short form, please click the “SEND” button at the bottom of the form. Thank you very much.

Your Full Name

Street Address

City, State, Zip

Primary Email

Primary Phone

GIVING LEVEL - - Please refer to your personal appeal letter and Suggested Contribution Guide for assistance in identifying your pledge.

Other Giving Amount

GIVING FREQUENCY - - Though we divide up suggested pledges into easily digestible monthly amounts, we will accept pledges in any frequency you wish to give.

Other Giving Frequency

PAYMENT OPTIONS - - The Automatic Checking Withdrawal option is the USSB preferred option. The Credit Card option requires USSB to pay a 2.75% processing fee.

Yes, please offset USSB's processing fee by increasing my pledge amount a nominal 2.75%

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