Florence City Schools Pledge Card

WORKPLACE PLEDGE CARD

Preferred Donation Method

Payroll Deduction

Check

Credit Card / Debit / Bank Transfer

Payroll Deduction

Contribution Amount Per Pay Period

$10

$20

$25

$50

Other…

Number of Pay Periods for Donation

One Time

Five Installments

Other…

My organization's Human Resources Contact Name (this is important for United Way to coordinate your pledge with the person in charge of your payroll).

HR Email Address

HR Phone Number

TOTAL: $0

Check Donation

Amount of Check $

Credit / Debit Card Donors:

Thank you for your support of the United Way.
To complete your donation by credit or debit card - please click here.

Your Name

Title

First

Middle

Last

Suffix

Your Contact Information

Company

Phone

Address

City

State

ZIP Code

Designations

Invest My Donation In...

General Fund

Education Fund

Financial Stability Fund

Health Fund

Basic Need Fund

COVID Emergency Fund

Other nonprofit agency

Agreement

My signature below, confirms my payroll deduction request as stated above.

Signature

WORKPLACE PLEDGE CARD

Credit / Debit Card Donors:

Thank you for your support of the United Way. To complete your donation by credit or debit card - please click here.

THE LATEST

Thank you for your support of the United Way.
To complete your donation by credit or debit card - please click here.