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MAIL TO: UNKF, 75-5851 Kuakini Hwy # 256, Kailua Kona, HI 96740 | CONTACT: [email protected] NAME:____________________________________ ADDRESS:_________________________________ CITY:________________ STATE:___ ZIP:_________ EMAIL:____________________________________ PHONE:_________________ DATE:____/____/____ Monthly Pledge. $20/Month $50/Month $100/Month $200/Month Other Amount:______________ Please debit my bank account monthly. (VOIDED CHECK ENCLOSED) I would like to go paperless. Please send my tax receipts to the email address provided. Credit Card: NAME (as it appears on card):_________________________ ACCT #:__ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ EXP. __ __ / __ __ SIG:__________________________ DATE: ___/___/___ I hereby authorize UNKF to initiate debits from my account as indicated. I understand that my gifts shall be transferred from my bank or credit card between the 15th and 20th of each month until such time that UNKF receives further instructions from me. Pledge Card for Steve & Diane Schallert MAIL TO: UNKF, 75-5851 Kuakini Hwy # 256, Kailua Kona, HI 96740 | CONTACT: [email protected] NAME:____________________________________ ADDRESS:_________________________________ CITY:________________ STATE:___ ZIP:_________ EMAIL:____________________________________ PHONE:_________________ DATE:____/____/____ Monthly Pledge. $20/Month $50/Month $100/Month $200/Month Other Amount:______________ Please debit my bank account monthly. (VOIDED CHECK ENCLOSED) I would like to go paperless. Please send my tax receipts to the email address provided. Credit Card: NAME (as it appears on card):_________________________ ACCT #:__ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ EXP. __ __ / __ __ SIG:__________________________ DATE: ___/___/___ I hereby authorize UNKF to initiate debits from my account as indicated. I understand that my gifts shall be transferred from my bank or credit card between the 15th and 20th of each month until such time that UNKF receives further instructions from me. Pledge Card for Steve & Diane Schallert
