We invite you to complete our online pledge card: DONOR INFORMATION Branch County United Way respects your privacy. We NEVER release or sell donor information. First Name * Last Name * Company Home Street Address * City * State * MichiganAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Email Address * Would you like to be anonymous * NoYes Contribution Options CREDIT CARD - If you would like to contribution by credit card either as a one time or recurring donation - CLICK HERE BILL ME - if you would like us to bill you please complete the Bill Me section of this form. PAYROLL DEDUCTIONS - if you would like us to arrange for Payroll Deductions with you employer, please complete the Payroll Deduction Section of this form. BILL ME Please make sure the address listed above is the correct billing address. Amount to be billed minimum billing amount is $25 If you would like multiple bills please provide instructions PAYROLL DEDUCTIONS Contribution amount per pay period Pay period frequency - None -Weekly (52 pay periods)Every 2 weeks (26 pay periods)Twice a month (24 pay periods)Monthly (12 pay periods) Please indicate what your company's payroll schedule is Total Gift Please multiply your donation amount per pay period by the number of pay periods to determine your annual gift. Designation Options My preference Education Income Health To help the United Way volunteers make wise decisions about where to put your contribution to work, please select the Impact Areas most important to you: Agency View a listing of our Partner Agencies here. Leadership Giving is $500 or more We can combine your gift with your spouses donation to qualify as a leadership gift. Provide your spouses name How much did your spouse pledge THANK YOU FOR SUPPORTING THE UNITED WAY! CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions.