Pledge Form

Your preferred method of payment:
Payroll Deduction Information
  • Up to $19,999: 1 hour’s pay per month
  • $20,000-$49,999: 1%
  • $50,000-$99,999: 2%
  • $100,000 and up: 3%
Mail check to: United Way of Cullman County, P.O. Box 116, Cullman, Alabama 35056
United Way asks you to leave your gift undesignated. This will allow local volunteers who have spent time studying the needs in our community to allocate the funds where desperately needed. However, if you wish to designate to a specific agency or other United Way, please indicate above.

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Thank you for your support!

In accordance with IRS requirements, please keep a copy of your pledge card for your tax records. United Way of Cullman County has not provided any goods or services in consideration, in whole or in part, for this contribution. Information provided to United Way is used only to properly credit your contribution and communicate with you about United Way and related programs. United Way respects the privacy of our contributors and does not sell, trade, or rent your information. If you do NOT want your name released in printed materials or on our website, please check the “anonymous” box on this form.