Pledge Card

UNITED WAY CAMPAIGN OPTIONS

  1. PAYROLL DEDUCTION – COMPLETE THE FORM BELOW
  2. ACH OR CREDIT CARD CONTRIBUTIONS, CASH OR CHECK – CLICK HERE

PAYROLL DEDUCTION FORM

*
(including yourself)
Fill in your registration information on this page. If you are registering additional people, you will be able to enter their registration information after you complete this page and click "Review your registration".
Pledge Card Info

If you selected 'Other' from the list above, please supply the name of your employer in the field below.
PAYROLL DEDUCTIONS OPTIONS
If other, what is your pay period?

Leadership Gift Recognition

Leadership Giving
  • Red Feather Society - $1,000 – 1,999 ($83.33 per month)
  • Silver Feather Society - $2,000 – 3,499
  • Gold Feather Society - $3,500 – 4,999
  • Builders Society - $5,000 – 9,999
  • Alexis de Tocqueville Society - $10,000+

Please list Spouse/Significant Other and their employer.

LOYAL CONTRIBUTOR INFORMATION

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

Type any funding designations with amounts in the box below.
Type any comments you would like to provide in the box below.