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Automatic Recurring Billing - Pay by Check

 Contributions to United Way are tax-deductible to the fullest extent allowed by law.

Automatic Billing Statements will be generated and mailed to you on a quarterly or yearly basis allowing you to pay by check with the freedom to spread your donation payment throughout the year.

Statements will begin with the next quarter after quarter in which you made your pledge.

2016 Pledge Form

Salutation



*First Name/Middle Initial
*Last Name
*Home Address
*City/State/Zip
Company Name
Recognition

*Pledge Amount
*Pledge paid:
*How do you want to put your donation to work?






If chose to designate to a specific organization, please specify (must be at least $25)





















If Other:
*Signature
*Date
Would you like to receive info about United Way activities and learn about your impact in the community?

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(Items marked * are required)

Thank You 2015 Cornerstone Partners!