Pledge Form | United Way of Cullman County

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Employer

Street Address

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State

ZIP

Phone

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Your preferred method of payment:

Payroll Deduction

Bill Me ($100 minimum total pledge)

Mail a Check

Payroll Deduction Information

Amount of your Recurring Contribution: $

Pay periods/year

52 Weekly

26 Bi-Weekly

24 Twice Monthly

12 Monthly

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

Combine My Gift with Spouse/Partner

Spouse/Partner Name

Spouse/Partner Employer

Designation

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.

BE A LEADERSHIP DONOR

Please check if you would like to remain anonymous

Please print how you want your name to appear in recognition materials

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Information on Young Professionals Board

Information on Women United

Information on Volunteer Opportunities

CHECK IF YOU HAVE

Included UWCC in your will or estate plan

Given to UWCC for 25 years or more

Retired or plan to retire within the next 12 months

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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.