My total contribution is: $
To be paid as follows:
Immediately (see payment info below)
Or,	$ to be paid
Period:	Monthly Quarterly: Semiannually
until my pledge is fulfilled.
Or, I am making a perpetual pledge:
Please deduct $ every
month        quarter     six months
from my credit card until I notify you to stop.
Please use my gift as follows:
Where it is most needed
Permanent Printing Fund
Translation Fund (choose one) NONE Russian German Portuguese Italian Chinese Other - see comments
Library Placement Project
International Urantia Association
533 Diversey Building Fund
Other (please specify in comments below)
Name:
Address1:
Address2:
City:
State or Province:
ZIP or Postal Code:
Country:
Phone/Fax:
E-mail:
Comments
	Payment Method:
	I will mail a check payable to Urantia Foundation
	I authorize you to charge my contribution in the amount above to my credit card as follows:
Name on Card:
Card No:
Exp.:
	You may call 1-800-URANTIA if you prefer to have us take your payment information over the phone.
I prefer to use a written pledge card; please send one to the address above: