Recurring Monthly Unity 21 Club Donation

Deduction on the 1st of each Month


   Number of Unity 21 Club Shares pledged at $21 per share:     

    Recurring Monthly Unity 21 Club Donation Amount     $

  

        Name 

      Address

            City      State      Zip

   Telephone

         Email

   

IMPORTANT: The amount entered above for the Monthly Unity 21 Club donation will be the same amount for each month.  The monthly donation will be automatically processed on or about the 2nd of each month.  The initial period for monthly donations is one (1) year.  Any cancellation must be made in writing, thirty (30) days prior to the next processing date.  If you have any questions or need more information, please contact the Plan Administrator for Online Donations at Unity of Washington, DC.

 

     

SELECT A DIFFERENT FUND

 

     

              

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