"2021 Unity Keepers of The Light" "I Am A Keeper of The Light " Complete Online Pledge Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20212022 Name(s) * (Please enter as you would like your name/names to appear on your pledge statement) Address (Street, Apt, PO) * City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip * Home Phone Cell Phone Person 1 Cell Phone Person 2 Email Person 1 * Email Person 2 (Your personal information and pledge amount are kept confidential) My/Our TOTAL 2021 KOTL Pledge * $ 2021 Operating Budget of Unity of The Blue Ridge Payment Amount * Payment Frequency * - Select -One Time GiftWeeklyMonthlyQuarterlySemi AnnuallyAnnually Frequency of Payment (Select One) Payment Method * - Select -Cash or Check (Check payable to Unity of The Blue Ridge)Auto Withdrawal (you set up with you online banking) Debit Card or Credit Card (you set up securely at https://www.unityblueridge.org/Giving2021)Contact Me Questions or Messages Contributions to Unity of The Blue Ridge are deemed charitable under section 501(C)3 of the Internal Revenue Code. EIN#56-6024201. Please consult your accountant for any clarications. Payments must be received before the end of the year to be eligible for a tax deduction in that year. There is no minimum contribution amount. Year-end statements for IRS charitable deductions will be sent in January for all contributions received in the previous year. You may request a statement of your giving at any time. For information, please visit unityblueridge.org or call 828-891-8700. To make secure payment or to set up secure recurring donation (Pledge) go to: Donations Welcome | Unity of the Blue Ridge (unityblueridge.org) only after submitting your pledge form. This link will be available in your pledge confirmation email. Admin Only Please Leave Blank SS Admin Only Please Leave Blank PC Admin Only Please Leave Blank ME
