Pledge Card

Thank you for supporting the United Way Campaign!

WORKPLACE PLEDGE CARD

Preferred Donation Method
Payroll Deduction or PTO
Number of Pay Periods
TOTAL
$0
NOTE: Payroll deductions for this donation will begin January 2021.
Cash or Check Donation
To donate by cash or check, please print this form and drop off to your supervisor or campaign ambassador. You can also mail to United Way of Clallam County, PO Box 937, Port Angeles, WA 98362.
If donating by credit card or ACH, please CLICK HERE to exit this form and complete your online transaction.
Your Name
Your Contact Information
The following check boxes apply to communications from United Way:
PLEASE DISTRIBUTE MY GIFT AS FOLLOWS

Please ensure your distributions equal the total contribution you listed above

Distributions not designated below will be allocated to the United Way Community Fund.

Designation Options
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Leadership Giving - $250 or More
United Way of Clallam County has a recognition program for individuals and couples who donate $250 or more to United Way and Partner Agencies.
Agreement
SIGNATURE AUTHORIZING CONTRIBUTION and acknowledging no goods or services were provided in exchange for this contribution. 

Thank you for supporting your community!