Pledge Card

My Contact Information
Easy Payroll Deduction
per paycheck*
Please indicate how often you are paid: *This commitment is for one year unless my employer is enrolled in continuous giving.
Direct Gift
If paying by cash or personal check, please return to your Employee Campaign Coordinator. If paying by Credit Card, Caitlin Puppo, Workplace Campaign Manager at United Way will call you to collect your payment details.
Please indicate your type of credit card:
Loyal Contributor
I have contributed to any United Way for 10 years or more. (Years do not have to be consecutive.)
Leadership gifts of $1,000 or more qualify you for membership in our Leadership Investment Society.
A copy of the official registration and financial information may be obtained from the Division of Consumer Services by calling toll-free (800-435-7352) within the state. Registration does not imply endorsement, approval, or recommendation by the state, FL Dept. of Agriculture & Consumer Registration #CH958 *By signing, I acknowledge that I agree to become a United Way contributor through my workplace campaign.