General Payroll Deduction Form | United Way of Lower Eastern Shore

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 info@uwles.org

Donor Information

First Name *

Last Name *

Current Employer

Employee ID *

Department *

Number of Pay Periods To Have the Above Amount Deducted

Email *

Street Address *

City *

State *

Birth Date

Postal Code *

Phone

Your privacy is important to us! UWLES will never 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

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

(Men's) T-Shirt Size

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

Direct my funds to another United Way

City, State

Designation - United Way Direct Services & Affinity Groups

My Involvement

Please send me more information on

EMERGING LEADERS

WOMEN UNITED

VOLUNTEER OPPORTUNITIES

1944 LEGACY CIRCLE (PLANNED GIVING)

My Acceptance

Payroll Deduction Authorization *

I authorize the above total as a pledge to UWLES from my paycheck.