Avery Hall Insurance Credit and Debit Card Gift | United Way of Lower Eastern Shore

My Investment

Thank you for participating in Avery Hall Insurance’s annual United Way campaign! Every gift helps impact 1 in 3 Lower Shore neighbors. Please complete the following information to submit your gift. *$5 Minimum for all credit or debit card charges.

If you have any questions or need to make any changes please contact your Campaign Coordinator, Christy Rose at crose@averyhall.com

I want to contribute this amount every month every for installments

You can specify the number of installments, or you can leave the number of installments blank if you want to make an open-ended commitment. In either case, you can choose to cancel at any time.

Donor Information

First Name *

Last Name *

Email *

Department

Street Address *

City *

State *

Birth Date

Postal Code *

Phone

Your privacy is important to us! Neither Avery Hall nor UWLES will share any donor information with a third party.

Additional Options

Please combine my gift with my spouse

Yes

Spouse Name

Spouse Employer

Retirement

I am retiring in the next 12 months, please keep in touch

Leadership Giving

All leadership level donors ($250+) will receive a UWLES appreciation item & an invitation to our Annual Leadership Celebration sponsored by First Shore Federal & PNC Bank.

Optional Designations

Use my contribution where it is needed most and will have the largest impact!

Direct my funds to an approved local United Way Agency Partner or Direct Program

Other T-Shirt Size

$100 minimum gift required to designate to a United Way Agency Partner

Designation - United Way Agency Partners

Optional Designations

Designation - United Way Direct Services & Affinity Groups

Direct my funds to another United Way

City, State

My Involvement

Please send me more information on

EMERGING LEADERS

WOMEN UNITED

VOLUNTEER OPPORTUNITIES

1944 LEGACY CIRCLE (PLANNED GIVING)