Pledge Card | United Way of Central West Virginia

Preferred Donation Method

My Contact Information

First Name

Options - Select One

Last Name

Total Annual Gift:

Donor Notes

Total Annual Gift to be billed:

Leadership Giving

Home Address

Frequency you are Paid

City

If other, what frequency:

Signature

Waiver

State

I authorize my employer to deduct the folloiwng amount from my paycheck:

Zip Code

Amount of Check

I/We wish to remain anonymous. Do not realease my/our name.

Employer Name

Amount of Cash

Name(s)

Email Address

Is your donation to be combined with a spouse or partner?

Office Phone

Please bill me:

Company Affiliation(s)

Name

Cell Phone

workplace

Gift Amount