Company Pledge Form

PAYROLL DEDUCTION

 

Click here to complete a Pledge form for payroll deduction.  This form need to be printed and return to your campaign coordinator or the payroll department.

 

 

WORKPLACE PLEDGE CARD

Payroll Deduction
$
$0
Check Donation
$
Cash Donation
$

Credit / Debit Card Donors:

Thank you for your support of the United Way.
To complete your donation by credit or debit card - please click here.

Your Name
Your Contact Information
Designations
Invest My Donation In...
Assists the greatest needs in our community.
Supports education in our community.
Supports financial stability related programs in our community.
Supports health related programs in our community
Supports basic needs in our community
Supports emergency response efforts (COVID, Natural Disasters, etc)
Agreement
My signature below, confirms my payroll deduction request as stated above.
Sign above

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