CONTRIBUTION RECORD

Unitarian Universalist Church of Augusta

 

 

DATE:    _____/_____/__________

 

COMMITTEE / BUDGET CATEGORY:

_________________________________                              AMOUNT:      $___________

_________________________________                                                      $___________

_________________________________                                                      $___________

_________________________________                              TOTAL:          $___________

 

COMMITTEE CHAIR NOTIFIED OF CONTRIBUTION:

 

CHAIR___________________________      DATE NOTIFIED ________

 

DESCRIPTION OF CONTRIBUTION:

(Please attach invoice, receipts, etc.)

 

 

 

 

 

 

PERSON TO BE ACKNOWLEDGED FOR CONTRIBUTION:

 

NAME:            ________________________________________

STREET:          ________________________________________               

CITY & ZIP:    ________________________________________

PHONE:          ________________________________________   

                                                                                                                                                                        ______I do not need an acknowledgement, but please record the value of

my contribution for your records.(If you check this statement, please do not give this form to the treasurer. Give it to the chair of the committee you donated to.)

 

 

 

SIGNATURE:  ________________________________________