1 Start 2 Complete Preferred Donation Method Options - Select One Payroll Deduction Check Cash Bill Me Credit Card or ACH Credit Card And ACH Donors: Thank you for your support of the United Way.To complete your donation by credit card or ACH - please click here. Amount of Check Amount of Cash Bill Me Annualized Amount to be billed $ One time (which month) Supply the number of the month, from one to 12 (January to December). If you want to contribute at specific intervals, see below. Intervals Quarterly Monthly Use the contact information below to bill me. Payroll Deduction Amount Per Pay Period Fair Share .5% Fair Share Plus 1% Frequency you are Paid - None -Bi-Weekly (26 times/yr)Other Please indicate how often you are paid: If other, what frequency: Total Annual Contribution My Contact Information First Name * Last Name * Home Address * City * State * AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Email Address * Office Phone * Cell Phone Employer Employer * - Select -Wesley TowersOther Other Employer Location/Department Name Employee Number Donor Notes Donor Notes
