Distribution Request Form

Please note: The Distribution Request form requires TWO (2) signatures. If the second signer is not available to sign the online form below, please complete and send this PDF fillable form here.

Downloadable PDF Form

Distribution Request Form

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Unit Holder Name(Required)

Unit Holder

Account Number(Required)

Amount Requested(Required)

Contact Name(Required)

First Last

Contact Phone(Required)

Contact Email(Required)

Enter Email Confirm Email

Date of Request(Required)

Request are typically processed in two weeks or less. In the event United Methodist Foundation, Inc. discovers an issue with this request, the contact provided will be notified.

Please Note:

At least two (2) authorized persons must sign this request. Authorized persons are those currently holding the positions that signed the original the agreement.

Authorized Signature 1(Required)

Name(Required)

First Last

Position held at Church(Required)

Authorized Signature 2

Name

First Last

Position held at Church