Become a member - United Madison Christian Givers!
Learn while you serve! Make a financial commitment each quarter, listen to the inspirational work of the Christian non-profits, and vote who will win grants!  *You can pay the commitment level monthly, quarterly or in one payment. 
Sign in to Google to save your progress. Learn more
Email *
Name (s) *
Complete Address (Street, City, State, Zip) *
Phone Number - indicate if cell or landline *
Membership Level Options 
We will ask you to indicate the exact amount in the next question. 
 *
Please indicate the exact amount PER QUARTER you are able to donate?  *
I understand I am making a commitment to United Madison Christian Givers of an annual donation of over $200 per calendar year, as indicated above. I understand that even if I did not vote for the charity chosen by the majority vote, I will fulfill my donation commitment. I also understand that if I am not able to attend the quarterly meeting, I will provide payment via electronic means or by writing a check to United Madison Christian Givers Inc.  
Mail checks to: 
United Madison Christian Givers, Inc.
2935 S. Fish Hatchery Road - #122
Fitchburg, WI  53711

PAY ONLINE, visit unitedmadison.com/donate

My commitment starts for a year and will automatically renew unless I email my request to stop my membership to edi.sheard@unitedmadison.com 

I agree to being contacted by United Madison Christian Givers for membership-related purposes, keeping me informed of organization business. I understand that photographs or video may be taken during meetings and I agree that my likeness may appear in social media or other promotional materials.
 *
Required
SCROLL UP AFTER YOU HIT SUBMIT TO ANSWER CAPTCHA QUESTIONS! 
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms