100 Docs Campaign | United Way of Lower Eastern Shore

Join Dr. Mark Edney and our local medical community and pledge your support to help critical educational, financial stability and health programs on the Eastern Shore.

100 Physicians giving $1,000 each to reach a $100,000 goal!

I want to make a one-time contribution
I pledge to contribute this amount every for installments.

Donor Information

First Name *

Last Name *

Email *

Employer/Practice Name

Department/Location

Street Address *

City *

State *

Birth Date

Postal Code *

Phone

Your privacy is important to us! Neither WCPS 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

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

Other 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

Optional Designations

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

Designation - United Way Agency Partners

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)