MY INFORMATION
First Name
MI
Last Name
Home Address
City
State
Zip Code
The membership shall be in the name of
Employer Name
Email Address
I would like to remain anonymous
I have given to UWCA for 25 years or more
I am retired or plan to retire within the next 12 months
I have included UWCA in my will or estate plan
Special Donor Notes
MY PLEDGE INFORMATION
TOTAL ANNUAL PLEDGE: $
How would you like to pay your pledge:
Payroll Deduction
Credit/Debit Card
Bill Me
Securities
Donor-Advised Fund
Private Family Foundation
Credit Card Information
A member of the Major Gifts team will contact you directly to either receive or confirm your credit card information.
Billing Address
Address Line 1
City
State/Province
Postal Code
Donor Advised Fund Information
I intend to request funds through:
(this is not a pledge)
PAYROLL DEDUCTION
Select your number of pay periods per year
26 - Bi-Weekly
24 - Semi-monthly
12 - Monthly
52 - Weekly
1 - One-time
BILL ME
Please select the frequency that you would like to be billed:
Monthly
Quarterly
One-time
Preferred billing start date:
PLEASE SEND ME INFORMATION
Sign me up for the United Way Connects enewsletter
Young Philanthropists Society
Women United
J. Mason Davis Leadership Society
Volunteer Opportunities
Please contact
Jessica Hopper 205.458.2031
or
tocquevillesociety@uwca.org
if you have any questions.
Contact Information
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