Payroll Deduction | United Way of Greater New Bedford

MY INFORMATION

Title

First

Last

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Cell Phone Number

Work Phone Number

My Employer:

Date of Birth

How many years have you been a United Way donor?

MY INVESTMENT

Check all that apply:

I am retiring this year, please keep in touch

I am interested in volunteer opportunities

I want to contribute the following amount per pay period:

$38.50*

Your gift of $38.50 per bi-weekly pay period qualifies you in a Giving Community.

$25

$15

Other…

I am paid:

Weekly (52)

Bi-Weekly (26)

Bi-Monthly (24)

Other…

My annual gift:

MY IMPACT

I want to give to:

United Way of Greater New Bedford's Community Impact Fund: the most efficient and effective way to invest in United Way’s work in health, education, financial stability, and basic needs.

Another Non-Profit Organization: You can choose to designate your gift of $104 or greater to one specific organization. It must be a tax-exempt 501(c)(3), not fraternal, political, or religious in nature. They may use these funds at their discretion and u

Enter the name of the organization you'd like to designate your gift to:

*Your gift of $1,000 or more per year ($38.50 per week) qualifies you for membership in a United Way giving community. As a member, you will receive invitations to special events, exclusive volunteer opportunities, and listing in our annual report.

Navigator Society - Supports community impact initiatives

Women United - Supports early childhood development and literacy initiatives

OPTIONAL: My contribution is part of a household gift. Please combine my pledge with:

Please list name and company affiliation.

I / We would like to be acknowledged as:

By checking this box, I pledge to make the gift above through payroll deductions at my company.

I want to join the fight for health, education, financial stability, and basic needs in my community.