Pledge Card - Hutchinson Clinic

Pledge Card - Hutchinson Clinic
Your Name
Your Contact Information
Donation Method
Fair Share
$
.5% of your annual salary will be evenly divided over your pay periods - THANK YOU!
Fair Share Plus
$
1% of your annual salary will be evenly divided over your pay periods - THANK YOU!
Payroll Deduction
$
Check Donation
$
Make checks payable to United Way of Reno County. Please give the check to your Campaign Coordinator within 24 hours of this pledge.
Cash Donation
$
Please give your cash donation to your Campaign Coordinator within 24 hours of this pledge.
Bill Me Details
$
Credit Card 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
$0
Donation Notes
Agreement
My signature below, confirms my pledge as stated above.