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* 1. Please enter your name

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* 2. Please indicate your pledge amount for 2019 Operating Budget

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* 3. Please indicate when you plan to pay your pledge; 2018 or 2019? 

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* 4. Please indicate how you will pay?

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* 5. If you plan to support UCLB with loose plate contributions rather than a formal pledge, please indicate an estimate of your amount and timing of loose plate payments.

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* 6. Questions or comments regarding UCLB finance?  (Please also note month you plan to pay your pledge if one-time payment is planned)

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* 7. You can always contact Scot Butler at scotbutler398@gmail.com or via phone at 847.910.8346

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