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First Universalist Church of West Chesterfield


10 Main Street

West Chesterfield, NH 03466

(603) 256-3293  ~


Donation Form


Please complete this form by printing legibly and returning it with your donation to
P.O. Box 10, West Chesterfield, NH 03466.  Checks may be made out to “First Universalist Church of West Chesterfield”.



Name of Doner :_________________________________________________________


Address:_____________________________________________________________________         Phone Number:_____________________________________________



I Would like my donation to be earmarked for:  

General Operating Costs

Facility improvement 


Service providers (pastors and musicians)


Other ____________________________________


Total Donation amount  $ __________



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