Joseph Priestley District - Chalice Lighters Enrollment

Joseph Priestley District Chalice Lighters

I wish to enroll as an individual Chalice Lighter and pledge to contribute the selected amount 3 times a year, when the "call" comes to "Light the Chalice" somewhere in our district.

Call amount*:

We wish to enroll as two Chalice Lighters and pledge to contribute the selected amount 3 times a year, when the "call" comes to "Light the Chalice" somewhere in our district.

Call amount*:

"Other" Amount:

Name(s)*:

Your UU congregation's name*:

Address1*:

Address2:

City*:

State*:

Zip code*:

Email address*:

E-mail addresses are required for authentification purposes. Please choose whether information related to your account should be sent to you via e-mail or snail mail. (Contact information is kept strictly confidential.)

Contact preference*:

Verification:

(Please type the characters you see in the box above before submitting)

Need more information? Click here: "Becoming a Chalice Lighter" brochure.

Designed and developed by Revoluution Media.