Unitarian-Universalist Partner Church Council
Gift Form for Transmission of Funds

Please print, fill out, and enclose this form with each check for funds to be transferred to your Partner Church or an individual. Please type or print clearly. You should also contact these people yourself to tell them what the money is to be used for. Any amount designated For the Congregation (below) will carry the instruction: "To be used at the discretion of the minister and president of the congregation."

Please mail this form, along with your check made out to UUPCC, to:

U-U Partner Church Council
Post Office Box 88
Bedford, MA 01730-0088

DONOR CHURCH INFORMATION - Please note this service is only available to UUPCC members in good standing.

Name of Church or Individual: ____________________________________________ Date mailed: _________________

Address:____________________________________________________________________________________________

City____________________________________________________ State____________ Zip________________________


Contact Person at Church: ____________________________________________________________________________

Contact E-mail: ______________________________________________________________________________________

Telephone: _____________________________________ Amount Enclosed: US$ _______________________________

RECIPIENT CHURCH/DONATION INFORMATION

Country of Partner: (check one) ____ Transylvania ____ India ____ Philippines

Partner Church Name: _________________________________________________________________________________

Address: ____________________________________________________________________________________________

Contact the Following: Minister: ________________________________________________________________________

and Church President: _________________________________________________________________________________

Specify amount and purpose of contribution (required)

Amount designated for congregation: _______________________________________________________

Purpose of contribution to congregation: ____________________________________________________

Amount for minister: ______________________________________________________________________

Amount for (specify other purpose): _________________________________________________________

Amount for (specify other purpose): _________________________________________________________

Last Update: July 2, 2007