Online Pledge Form | United Way of Etowah County

United Way of Etowah County Campaign Options:

How many people are you registering? *

Pledge Card Info

Employer *

If you selected 'Other' from the list above, please supply the name of your employer in the field below.

Other Employer

First Name *

Last Name *

Street Address *

City *

State *

Postal Code *

Email *

Phone *

PAYROLL DEDUCTIONS OPTIONS

Other Amount

Payment Options

If other, what is your pay period?

Describe Other

Total Amount/Year

Leadership Gift Recognition

Names as they should be published

Leadership Giving

Identification

I wish to remain anonymous

More Info

I would like more information on United Way’s Planned Giving

Please list Spouse/Significant Other and their employer.

Spouse/Significant Other Name

Spouse/Significant Other Employer

LOYAL CONTRIBUTOR INFORMATION

Have you given to United Way (in any community) for 10 or more years?

Yes

No

Click HERE to download and view our United Way Partner Agency and Initiative Listing

Type any funding designations with amounts in the box below.

Designations

Type any comments you would like to provide in the box below.

Notes / Comments

$25
$20
$10
$5
$2
Other – My Fair Share – 1 hr’s pay per month
Other – Every Day Hero - $1 per day - $365 per year
Other – Emerging Leader - $10/week - $520 per year
Other - Leadership Giving, Red Feather Society - $83.33 per month ($1,000)
Other – 1% - approx. 2 hrs pay per month
Other – 2% - approx. 4 hrs pay per month
Other