PENN CENTRAL CONFERENCE UCC Telephone: (717) 652-1560 REMITTANCE FORM DATE ______NAME OF CONGREGATION ______CHURCH # ______

ADDRESS ______

TREASURER ______PHONE # ______

ADDRESS ______

I. OCWM SUPPORT – (OUR CHURCH’S WIDER MISSION) FOR CONF. OFFICE USE Undesignated Basic Support (provides resources for the full ONLY operation of the Conference and Denomination) $______4020 Designated Basic Support Penn Central Conference…..…………………………………………… $ ______4010

National Church – Other...... ………………………………………… $______8330 (List special project, board or agency) ______OCWM Support Total= $______———————————————————————————————————————————

II. SPECIAL SUPPORT:

ALL CHURCH AND SPECIAL OFFERINGS : 1. One Great Hour of Sharing……………………...……………….. $______8360 2. Neighbors in Need……………………………...….………………. $______8340 3. Strengthen the Church……………………...…………………….. $______8390 4. Christmas Fund (Veterans of the Cross)...……………………… $______8140

DIRECTED/OTHER GIFTS : (Please Itemize) 1. Disaster Relief – PLEASE CLARIFY______$______8710 2. Other – PLEASE CLARIFY______$______

UCC AGENCIES AND INSTITUTIONS : (You may elect to send your gift direct – links to their web sites are available on line: www.pccucc.org) 1. Bethany Children’s Home………………………………………. $______2. Hoffman Homes for Youth……………………………………… $______3. Lancaster Theological Seminary………………………………. $______8020 4. Phoebe Ministries………………………………………………... $______8260 5. United Church of Christ Homes……………………………….. $______8290 6. ______$______8370 8400 HARTMAN CENTER (CAMP) SUPPORT _____ 1. Hartman Center………….……………………………………….. $______SPECIAL SUPPORT TOTAL= $______======Enclosed is check # ______TOTAL AMOUNT = $______1/2016

NOTE: a) Payable to PENN CENTRAL CONFERENCE UCC b) Mail to: 900 S. Arlington Avenue, Rm 227A, Harrisburg, PA. 17109