United Way

United Way of the Coastal Empire Logo

How would you like to make your donation?

Your Gift Amount

To make your gift by credit card, please click here to access our credit card form!

Enter the number of pay periods in a year (e.g. 24)

How much would you like to give each pay period?

Your Annual Impact

$0.00

Contact information

Employer

Employer Name:

School/Division

Employee ID

Prefix

First Name

Last Name

Suffix

Name as you want it to be published

(e.g.: Mr. and Mrs. John Doe; Jane and John Doe; John Doe; Anonymous)

Date of Birth

Mobile Number

Mailing Address

City

State

Zip

This is a combined gift with my spouse/ partner

Spouse/ Partner Name

Spouse/ Partner Employer

I am Loyal Contributor (10 or more years)

How many years have given to United Way?

I would like to remain anonymous

I would like to designate all of my gift to the Community Fund.

Designations

The impact of your individual gift is multiplied when combined with thousands of others through the Community Fund. This fund is the most powerful way our community delivers support where it is most needed day after day, year after year, sustaining the nonprofit health and human services network that helps our region thrive. One gift helps many.

Other Designation Options: If you prefer to direct your contribution to a specific nonprofit, other than United Way, please list it below. Note that this choice may not qualify you for the Caring Club, a 5% processing fee applies to non-United Way funded nonprofit organizations, and there is a minimum of $100 per nonprofit organization.

1. Designation to the Community Fund

Community Fund Amount

2. Designation 2 (Agency Name)

Designation 2 (Amount)

3. Designation 3 (Agency Name)

Designation 3 (Amount)

Total Contribution

Please make checks payable to United Way of the Coastal Empire and turn in to your staff coordinator.

To be a Caring Club member, give $182 or more to the United Way Community Fund. To receive your card, you will need to share your home address with United Way.

$0.00

By typing your name below, you are signing this pledge agreement electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this pledge agreement.

E-Signature

**To make your gift by credit card, please click here to access our credit card form!**