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Ms. FIRST NAME
I have given to United Way since: Insert year you began giving
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DOB (MM/DD/YYYY): / /
BILL ME ($100 minimum) One time Monthly First billing date: /
Please call 704.371.6208 when you are ready to transfer funds
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
DONOR ADVISED FUND
I will be recommending a grant from in the amount of $
in the year
MY TOTAL ANNUAL GIFT IS: $
Please check the accuracy of your entries. Thank you.
I Choose to LIVE UNITED
CREATE CHANGE FOR ALL
My gift to United Way of Central Carolinas helps create an environment of opportunity for all.
($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)
($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)
($1,000) African-American Engagement
($250) Young Professionals in their 20s
($1,000) Women Professionals Engagement
($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.