Education, Children, & Women Initiatives | Missouri Slope Areawide United Way

Payroll Deduction

Contribution Amount Per Pay Period

$5

$10

$20

$25

$50

Other…

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Number of Pay Periods for Donation

24 pay periods

Check Donation

Amount of Check $

Make checks payable to Missouri Slope Areawide United Way. Please give the check to your Campaign Coordinator within 24 hours of this pledge.

Cash Donation

Amount of Cash $

Please give your cash donation to your Campaign Coordinator within 24 hours of this pledge.

Bill Me

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Frequency of Invoice

Monthly

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One Time Donation

Monthly Recurring Donation

Amount of your One Time Donation $

Amount donated each month $

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Total Annual Contribution

TOTAL: $0

Donation Details

Please let us know how best to recognize your contribution:

I would like to designate my $5,000+ gift to the MSA United Way Endowment Fund to qualify for the 40% ND tax Credit.

I am a Loyal Contributor

My contribution is part of a household investment. please combine my gift with my spouse/family member

I prefer that my/our gift remain anonymous.

My/our gift of $500+ qualifies for membership in the Hero Club

I would like to be recognized as a member of Women United with my gift of $500+.

I have included United Way in my will/estate plans.

I'm retiring this year.

I have been investing in my community with United Way since

Name of Spouse/Partner

Employer of Spouse/Partner

Combined Total $

Please choose how you want to invest in your community.

United Way Community Action Fund.

Education

Income

Health

Imagination Library

Create a Hunger-Free ND

Emergency Homeless Shelter

Specific MSA United Way Approved Agency

Amount to Education $

Amount to Imagination Library $

Amount to Backpack Program $

Donor Notes

Agreement

My signature below, confirms my pledge as stated above.

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