MY INFORMATION*

Please print and sign firmly in blue or black ink.

Mr.



Ms. FIRST NAME

Mrs.

M.I.





LAST NAME



HOME ADDRESS

Home Work

PREFERRED PHONE

LOYAL RECOGNITION

Cell

I have given to United Way since: Insert year you began giving



STATE

ZIP CODE

When we keep in touch with you by email, you’ll stay informed and we’ll save printing and paper costs, so more of your contribution goes directly to those who need it.

PREFERRED EMAIL

DOB (MM/DD/YYYY): / /



CITY

SUFFIX

GENDER:

Work Personal

Female Male

EMPLOYER

MY GIFT*



ENCLOSED GIFT



BILL ME ($100 minimum) One time Monthly First billing date: /

Date:

/

/





Semi-Annually

STOCK/SECURITIES

Please call 704.371.6208 when you are ready to transfer funds

Quarterly /

CREDIT/DEBIT CARD ($25 minimum)

One time Monthly Quarterly Semi-Annually First billing date: / / Go to uwcentralcarolinas.org/give to make a secure credit card payment.

Check (payable to United Way) # Cash







I authorize my employer to deduct the following gift from my paycheck: $100 $50 $25 $10 $5 Other $ My # of pay periods per year: 12 24 26 52 Other





PAYROLL DEDUCTION



DONOR ADVISED FUND

I will be recommending a grant from in the amount of $

(institution name)

in the year

.

MY TOTAL ANNUAL GIFT IS: $

*

Please check the accuracy of your entries. Thank you.

I Choose to LIVE UNITED

Leadership Giving

CREATE CHANGE FOR ALL

$

My gift to United Way of Central Carolinas helps create an environment of opportunity for all.



LEADERSHIP CIRCLE



($1,000 - $9,999)



ALEXIS DE TOCQUEVILLE SOCIETY

OR, I CHOOSE TO TARGET MY GIFT TO ONE OR MORE OF THESE AREAS:

IMPACT GRANTS (290)



$

• EDUCATION • HEALTH • FINANCIAL STABILITY • BASIC NEEDS



($10,000 - $14,999)



DIRECTORS CIRCLE



($15,000 - $24,999)

MAJOR GIFTS SOCIETY ($25,000 and up)

I want to GET INVOLVED

UNITED NEIGHBORHOODS (291)

$

UNITE CHARLOTTE (6099)



$



LEADERSHIP CIRCLE STEP UP Year 1 - $500 Year 2 - $750 Year 3 - $1,000

ALEXIS DE TOCQUEVILLE SOCIETY STEP UP Year 1 - $5,000 Year 2 - $7,500 Year 3 - $10,000

(SEE REVERSE FOR MORE INFORMATION)

A-LIST

($1,000) African-American Engagement

LINC

($250) Young Professionals in their 20s



WOMEN UNITED

($1,000) Women Professionals Engagement

YOUNG LEADERS

($500) Young Professionals in their 30s

OPTIONAL DESIGNATED CONTRIBUTION to a United Way approved 501(c)(3) community partner or another United Way. For a complete list of our community partners, visit uwcentralcarolinas.org/communitypartners. Minimum $52 per designation.



COMMUNITY PARTNER

$

NAME ADDRESS



COMMUNITY PARTNER

$



NAME ADDRESS

COMMUNITY PARTNER

$

NAME ADDRESS

Release my name and address to these organizations for recognition purposes.

I want my gift to remain anonymous.

Gifts designated to individual providers are assessed fundraising and management/general fees, based on actual historical cost in accordance with United Way Worldwide’s Membership Standards.

*SIGNATURE



DATE

Thank you for your contribution to United Way. No goods or services were provided in exchange for this contribution. For contributions made through payroll deductions, please keep a copy of this form for your tax records. You will also need a copy of your pay stub, W-2 or other employer document showing the amount withheld and paid to a charitable organization. Please consult your tax adviser for more information.

Financial information about this organization and a copy of its license are available from the State Solicitation Licensing Branch (888) 830-4989. The license is not an endorsement from the state. * REQUIRED

ORG. #35110U

WHITE: UNITED WAY COPY

YELLOW: PAYROLL COPY - TO BE RETAINED BY EMPLOYER

PINK: DONOR COPY - FOR DONOR’S RECORDS

United Way of Central Carolinas fights for the education, health, and financial stability of every person in our community. CREATING AN ENVIRONMENT OF OPPORTUNITY FOR ALL Focusing on education, health, financial stability, and basic needs, we work to address our community’s economic mobility challenges. Our two-generation approach supports the entire family by intentionally focusing on the needs of both parent and child. To create an environment of opportunity for all, we focus on building stronger neighborhoods, improving the systems that serve children and families, and providing basic needs support across our region. This targeted approach is fueled by broad civic engagement that brings together the people, resources and services necessary to improve economic mobility.

Impact Grants

United Neighborhoods

Unite Charlotte

We support our five-county region through a network of partners that work collaboratively to provide comprehensive and coordinated services to achieve the best possible results.

We utilize a community-led model to create sustained neighborhood change by working with key partners and community residents to drive transformation and revitalization efforts.

We support new and grassroots organizations through grants and capacity-building activities that strengthen organizational and financial stability, program quality, and growth.

Our community is made up of caring people who want to ensure an environment of opportunity for all. At United Way, we offer many ways – both big and small – for everyone to come together to take control of our future.

LEADING THE WAY

JOIN AN ENGAGEMENT GROUP

We come from different backgrounds and do different things, but we come together as one for the community. Choose the United Way engagement group that is right for you.

Leadership Circle – Donors exhibit dedication to improve the quality of life for all our neighbors by contributing at least $1,000 annually to United Way.

A-LIST - African-American philanthropic leaders unite to lead, influence, support, and teach our community in order to foster social equality.

WOMEN UNITED - Connect with an unstoppable network of female professionals, community volunteers, and business leaders dedicated to making a lasting impact.

Alexis de Tocqueville Society – Named for 19th century French intellectual Alexis de Tocqueville, the society honors community-minded investors who donate $10,000 or more annually.

LINC - Create change through fun projects and meaningful mission moments, all while networking with like-minded 20- to 30-year-olds over social gatherings.

YOUNG LEADERS - Join a diverse network of passionate young professionals in their 30s in philanthropic, volunteer, and leadership activities throughout the community.

By becoming a leadership donor at United Way, you’re rallying with others who have similar philanthropic mindsets and a passion for creating change in our community. United Way has three leadership categories:

Legacy Society – Allows donors to change our community forever by leaving a legacy for generations to come.

STAY CONNECTED facebook.com/UWCentralCarolinas instagram.com/uwcentralcarolinas

twitter.com/myUWCC youtube.com/user/uwcentralcarolinas

linkedin.com/company/United-Way-of-Central-Carolinas

THANK YOU!

Giving is a personal decision. United Way strongly discourages and works to eliminate coercion of any kind in the solicitation process.

301 South Brevard Street | Charlotte, NC 28202 | 704.372.7170 | uwcentralcarolinas.org