United Way Backpack Program

Contribution Amount

Support 1 kid - $ 5.00

Support 5 kids - $ 25.00

Support 10 kids - $ 50.00

Support 20 kids - $ 100.00

Support 50 kids - $ 250.00

Support 100 kids - $ 500.00

United Way Endowment Fund - Eligible for a 40% ND Tax Credit with a gift to the MSA United Way Endowment Fund. - $ 5,000.00

Other Amount

Other Amount $

Total Amount

I want to contribute this amount every month

Your Information

First Name *

Last Name *

Current Employer

Email Address *

Preferred Phone

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *