Thank you for supporting the work of the United Way through your workplace pledge. This pledge will help to strengthen our community! 

Your Name
Your Contact Information
Donation Method
Payroll Deduction
$
Check Donation
$
Make checks payable to _____ . Please give the check to your Campaign Coordinator within 24 hours of this pledge.
Cash Donation
$
Please give your cash donation to your Campaign Coordinator within 24 hours of this pledge.
Bill Me Details
$
Total Annual Contribution
$0
Donation Details
Agreement
My signature below, confirms my pledge as stated above.
Sign above