Digital Pledge Form

2022 Campaign Logo

blue tagline

Your Gift to United Way Matters!  And Every Donation Counts!

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3 a week
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5 a week
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10 a week
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20 a week

WORKPLACE PLEDGE FORM

Your Contact Information
Recognition
Donation Options
Payroll Deduction
$
Check Donation
$
Cash Donation
$
Credit/Debit Card Donation

Once you finish this form, you will proceed to the payment form to process your credit/debit card. Be sure to enter the same amount on the payment page as you enter on this form.

$
$

After completing this form you will be redirected to our payment page where you will be able to process your transaction in a secured environment. Please be sure to enter the same values that you have entered on this form. Thank you!

Stocks or Securities

Please call 478-621-7798 for more information!

Total Annual Contribution
$0
Caring Club Card

Enjoy Special Rewards!

By donating $156 ($3 a week) or more annually, you automatically enjoy the rewards of a Caring Club membership. You will receive great discounts on food, entertainment and valuable services.

Designations
Additional Donor Details
Agreement
My signature below, confirms my payroll deduction request as stated above. If donating by credit card, place your signature below, and click on proceed to payment page and fill out credit card payment form.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.