Optional:

1. If this gift should be included with a workplace campaign, please enter

your workplace in the Comments field below.

2. To make your gift in honor of or in memory of someone, please enter

the Honoree's name in the Comments field below. If you would like us to

notify the Honoree (or another if making an "in memory of" gift), please

include that person's name and contact information.

*Magnify your gift! Please let us know if your company will match your donation.

For more information or questions, please contact the United Way at 434.972.1701 or [email protected].