Pledge Card | United Way of Lincoln County

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Pledge Card

First

Middle

Last

Company

Phone

Address

City

State

ZIP Code

T-Shirt Size

Donation Method

Preferred Donation Method

Payroll Deduction

Check

Cash

Bill Me

Credit Card

Check Donation

Amount of Check $

Please give the check to your Campaign Coordinator within 24 hours of this pledge.

Cash Donation

Amount of Cash $

Please give your cash donation to your Campaign Coordinator within 24 hours of this pledge.

Bill Me Details

Frequency of Invoice

One Time

Quarterly

Monthly

Amount of EACH direct bill $

Credit Card Donation

Amount of your One Time Donation $

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!

Total Annual Contribution

Total $ 0

Donation Details

Designation Options

United Way Community Impact Fund

Other (Describe below)

Other

Mark all that apply

I am a leadership donor

I wish to remain anonymous

I'm interested in a legacy gift through an endowment fund or leaving a gift in my will

I'm interested in volunteering

Agreement

My signature below, confirms my pledge as stated above.

Signature