2007 - United Way Galveston County Mainland
2019/2020 UNITED WAY CAMPAIGN
| Mr. Mrs. Ms. |Name: Jr. Sr. |
|Address: |Email Address: |
|City: |State: |Zip: |
Payroll Deduction
|Pay Periods: Weekly (52) Biweekly (26) Semimonthly (24) Monthly (12) |
|Leadership |
|A gift of .5% of Annual Salary over ____ pay periods = $________ Total |
|Fair Share |
|A gift of ½ hour per pay period over ____ pay periods = $________ Total |
| |
|A gift of $_________ over ____ pay periods = $________ Total |
| |
|A one-time payroll deduction gift of $________ |
OR
One – Time Gift
| |
|A One-Time Gift Is Enclosed: $________ Cash Check (Payable to United Way) |
Do you wish to receive an acknowledgement for your contribution? Yes or No (circle one)
|I wish to receive my acknowledgement by Email |[pic] |I wish to receive my acknowledgement by Mail | |
|(PLEASE PROVIDE EMAIL ADDRESS ABOVE) | |(PLEASE PROVIDE MAILING ADDRESS ABOVE) | |
OPTIONAL: I wish to designate my gift to the following United Way agency: _______________________________
See back for a list of member agencies
Designated agencies must be registered as a nonprofit health and human service agency only with 501(c)(3) status.
If a non-qualifying agency is designated, United Way will redirect these funds to the General Fund.
Designations are available for donors who contribute a minimum of $50 or more.
Signature: ___________________________________________ Date: ______________________
Gift Calculator*
|If you pledge |
|this amount |
|Advocacy Center for Children of Galveston County |
|American Red Cross Galveston County Branch |
|The ARC of the Gulf Coast |
|Boy Scouts of America, Bay Area Council |
|Brazos Place |
|CASA of Galveston County |
|Catholic Charities of the Archdiocese of Galveston-Houston |
|The Children’s Center, Inc. |
|City of Texas City Senior Program |
|Connect Transit |
|DePelchin Children’s Center |
|Family Service Center, Inc. |
|Galveston County Food Bank |
|Girl Scouts of San Jacinto Council |
|Gulf Coast Big Brothers & Big Sisters, Inc. |
|Hitchcock Family Welfare |
|Hospice Care Team |
|The Independence Village |
|Interfaith Caring Ministries |
|Lone Star Legal Aid |
|Mainland Children’s Partnership |
|M. I. Lewis Social Service Center |
|NAMI Gulf Coast (National Alliance on Mental Illness) |
|Resource & Crisis Center of Galveston County |
|The Salvation Army of Galveston County |
|Santa Fe Family Service |
|Special Friends, Inc. |
|Sunshine Center, Inc. |
| |
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Step 1: Donor Information
Step 2: Pledge Options
Step 3: Acknowledgement
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