Workplace Campaign | United Way of Clallam County

Thank you for your support.

I want to contribute this amount every month for installments

Donor Details - Workplace Campaign

Individual Prefix

First Name *

Last Name *

Home Phone *

Street Address *

City *

State *

Postal Code *

Employer *

Other

Personal Email *

Please provide your email address to hear how your contribution makes a difference.

Recognition & Special Instructions

Leadership Giving – $250 or more

I wish to remain anonymous.

Do not mail acknowledgement to me.

I would like my acknowledgment emailed to me

Leadership Recognition may be combined with spouse/partner.

List name(s) as

Funding Designation

United Way Community Fund *

I choose the Community Care Fund because I know my gift will be invested in meeting the most critical current needs in Clallam County. My gift will be distributed in a way that will make the greatest impact in the community.

Optional - Other instructions for my donation

Other instructions for my donation