Pohanka Pledge Card | United Way of Lower Eastern Shore

WORKPLACE PLEDGE CARD

My Investment

Contribution Amount Per Pay Period

$5

$10

$15

$25

$50

$75

$100

Other…

Number of Pay Periods for Donation

One Time

52 pay periods

Other…

TOTAL: $0

Donor Information

Your Name

Title

First

Middle

Last

Suffix

Your Contact Information

Name

Email

Phone

Address

City

State

ZIP Code

Birth Date (DD/MM/YYYY)

I give permission for UWLES to send SMS text messages

Department Information

Department

Employee ID/Badge #

Additional Options

Please Combine my gift with my spouse/partner

Spouse/Partner Name

Spouse/Partner Employer

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 and an invitation to our Annual Leadership Celebration sponsored by First Shore Federal.

I would like to opt-out of the leadership gift

Optional Designations

Annual contributions may be designated to an approved local United Way Agency Partner or Direct Program ($50 minimum gift per designation).

Direct My Gift To:

Please Use Where Needed Most

UWLES Direct Program

UWLES Agency Partner

Another United Way

Direct My Gift to Another United Way

City/Town

State/Province

My Involvement

Want to Know More About Getting Involved? Visit uwles.org/GetInvolved or check below for more information

Emerging Leaders

Women United

Volunteer Opportunities

1944 Legacy Circle (Planned Giving)

Agreement

My signature below, confirms my payroll deduction request as stated above.

Signature