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Fond du Lac Area United Way
Donor Information
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Date of Birth
*
MM slash DD slash YYYY
Phone
*
Email
*
Donor Options
Please select one of the following:
*
Payroll Deduction (per pay period)
Immediate Gift
Credit Card (one-time donation)
Billing (minimum $10 per billing)
Electronic Withdrawal
I would like to continue the gift for future generations and learn more about the United Way Endowment Fund
Payroll Deduction
*
If your company participates, how much do you pledge per pay period?
Number of annual pay periods
*
25
26
52
Total Annual Contribution
Your generous gift of $500 or more qualifies you as a Leadership Giving Member!
Immediate Gift
*
Cash or Check Payment Accepted. Please enter your pledge amount below.
Your generous gift of $500 or more qualifies you as a Leadership Giving Member!
This is a one time donation. Please follow the link below to complete your donation.
DONATE
Billing (minimun $10 per billing)
*
Quarterly
One Time
Billing Amount
*
Minimum $10 per billing
Please enter a number greater than or equal to
10
.
Billing Amount
*
Minimum $10 per billing
Please enter a number greater than or equal to
10
.
Total Annual Contribution
Your generous gift of $500 or more qualifies you as a Leadership Giving Member!
Your generous gift of $500 or more qualifies you as a Leadership Giving Member!
Electronic Withdrawal
*
Contact the United Way to obtain a copy of the agreement. Please enter your pledge amount.
Your generous gift of $500 or more qualifies you as a Leadership Giving Member!
United Way Endowment
*
I would like to learn more and to continue the gift for future generations. Please indicate your total investment below.
Your generous gift of $500 or more qualifies you as a Leadership Giving Member!
Additional Information (Not Required)
Optional
I wish for my gift to be.....
Community Impact Designation.....
Please direct my gift to the United Way in my home community.....
I qualify as a Loyal Donor of 10-24 years of giving to United Way (Does have to be consecutive).
I am interested in volunteering.
I wish for my gift to be in HONOR/MEMORY (choose one) of:
*
HONOR
MEMORY
In Honor/Memory of
*
Community Impact Designation
*
Education
Health
Financial Stability
Education
*
Health
*
Financial Stability
*
Please list your home community
*
