My Information. PLEASE PRINT CLEARLY AND PRESS FIRMLY. Your personal information is kept confidential and will never be sold or shared.
2 My Gift. Please consider 1 hour’s pay per month, 1% of your annual income, or an increase over last year’s gift.
THANK YOU!
WHITE: Payroll YELLOW: United Way PINK: Donor
Signature_________________________________Date_____________
I would like my gift to remain anonymous.
Mr. Mrs. Ms. Dr.
1
Optional
Please direct my contribution to another non-profit 501(c)(3) organization ($50 minimum contribution required).
AMOUNT $ ORGANIZATION NAME AND LOCATION
No goods or services were provided in exchange for this contribution. 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. Contact your tax advisor for more information.
Name _______ First Middle Initial Last Date of Birth Home Address _______________________________________________________________ _______ City State Zip Employer ______________________________________________________________Union Affiliation (if any) Work Phone _______ Personal Email _______________________________________________________________ Home Phone ________________
GREAT THINGS HAPPEN WHEN WE LIVE UNITED!
PLEDGE FORM
Lake Area United Way 221 W. Ridge Road
Griffith, IN 46319 219-923-2302 x 306
[email protected] www.lauw.org
JOIN THE VANGUARD!
An annual individual contribution, or a combined family contribution, of $1,000 or more qualifies you for recognition as a Vanguard Member, including free Vanguard events year-round.
Please combine my gift with my spouse/partner’s gift to Lake Area United Way.
Their name _________________________________________________________ Their employer_______________________________________________________
Please list my/our name(s) as follows:
___________________________________________________________________
FAST TRACK to the Vanguard with a pledge to reach the $1,000 level in 3 years.
Contact me about joining the VANGUARD.
VOLUNTEER! (We’ll contact you with more information).
I am interested in ‘United We Read’, which helps area elementary students become successful readers. I am interested in other volunteering opportunities.
MAKE EVEN MORE GREAT THINGS HAPPEN!
BILL ME $50 minimum and home address required
I have been a United Way donor for 10 years or more. (This applies to donations made to any United Way.)
I will be retiring on ________________. After this date, please contact me to inform me of giving & volunteering options.
$ Total Annual Gift:
We’ll email you a link so you can make a gift securely on our website.
$ Total Annual Gift:
CREDIT CARD or AUTOMATIC BANK WITHDRAWAL
Email address (required):
PAYROLL DEDUCTION Amount per pay period: $
Number of pay periods per year:
$ Total Annual Payroll Deduction:
Monthly X 12 $ Quarterly X 4 $
GIFT IS ATTACHED Cash Check (make payable to Lake Area United Way)
Check #
$ Total Payment Enclosed:
One Time $
3 My Authorization. I authorize Lake Area United Way and/or my employer to process my pledge as directed above.
Lake Area United Way
THE TOP 10 REASONS TO GIVE
Shelice Tolbert — Kopka Pinkus Dolin PC Lake Area United Way Campaign Co-Chair
Al Spajer — Retired, US Steel Gary Works Lake Area United Way Campaign Chair
1. Your donation builds a stronger, healthier community.
2. It’s all about creating lasting change through your investment.
3. This is neighbor helping neighbor.
4. You’ll give people in need a hand-up, not a hand-out.
5. You’ll unite with thousands of others through your gift.
6. We all make a living by what we get, but we make a life by what we give.
7. Your gift stays local.
8. You’ll raise spirits, raise hope, and take advantage of an opportunity to help.
9. It’s more than a band-aid. It’s addressing underlying causes and conditions.
10. Because once upon a time, someone helped you.
