General Payroll Deduction Form

My Investment

Thank you for participating in annual 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 UWLES at

Enter the amount you would like to contribute each pay period.
Total Amount
Donor Information

Your privacy is important to us! UWLES will never share any donor information with a third party. 

Additional Options

Leadership Giving

Donors who give $250-$499 will be recognized in the Leadership Circle sponsored by First Shore Federal

Donors who give $500+ will be recognized in the Anchor Society sponsored by PNC

Leadership Gift - 
Donors who give at a leadership level ($250+) receive a 2020-2021 UWLES Campaign T-Shirt

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

Optional Designations

Direct my funds to another United Way

My Involvement

My Acceptance

Payment Options
[x] Payroll Deduction