General Payroll Deduction Form 2019

My Investment

Thank you for participating in the 2019-2020 United Way campaign! Every gift helps impact 1 in 3 Lower Shore neighbors. Please complete the following information to submit your pledge.

If you have any questions or need to make any changes please contact your United Way at 410-742-5143 or info@uwles.org

This amount will be deducted through your employer payroll for the remaining pay periods in calendar year 2020.

Payroll Deduction - Per Pay Period *

$3.00 - $ 3.00

$5.00 - $ 5.00

$7.50 - $ 7.50

$10.00 - $ 10.00

$25.00 - $ 25.00

$50.00 - $ 50.00

$75.00 - $ 75.00

$100.00 - $ 100.00

Other Pay Period Contribution

Total Amount

Email Address *

Payment Options

[x] Payroll Deduction