Pledge Card | United Way of Lincoln County

Payroll Deduction

Contribution Amount Per Pay Period

$5

$10

$20

$25

$50

Other…

Please enter the NUMBER only $

Number of Pay Periods for Donation

One Time

12 pay periods

24 pay periods

26 pay periods

52 pay periods

Other…

Please enter the NUMBER of pay periods for this donation

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