DONATE

Donor Information

First Name

Last Name

Current Employer

Home Address

City

State

Zip Code

Email Address

Phone Number

Donation Details

Would you like to designate your contribution to a specific agency, program or initiative?

Yes

No

Initiative Designations

Influence the Condition of All

Education - Helping children and youth achieve their potential.

End Homelessness Initiative

End Hunger Initiative

Health - Promoting healthy choices and active lifestyles for all.

Income - Helping families become financially stable and independent.

HERO CLUB / WOMEN UNITED

Personal annual donations of $500 or more qualifies you for membership in the Hero Cub and/or membership in Women United.

Business annual donations of $1000 or more qualifies the business for membership in the Hero Club.

Will your donation qualify you for the HERO club?

Yes

No

Shall we recognize your HERO donation?

No, recognition this is anonymous

Yes, Please recognize my donation

How would you like your listing to appear, please include spouse here if you would like to be listed together.

ENDOWMENT GIFTS

A gift of $5,000 or more to MSA United Way's Endowment Fund may qualify for a 40% credit through the North Dakota Charitable Giving Tax Credit. For more information visit www.msaunitedway.org/tax or consult a tax professional.

Are you making an endowment gift?

No

Yes

County Designation:

If this donation is In Memorial or In Honor of someone, please provide details

Credit Card Donation

Would you be willing to cover the 3% online processing fee?

Yes

No

Donor Notes

Payment Information

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