Uwatx Pledge Form
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1
2UWATX Pledge Form
Step 1: Please fill out donor information
United Way for Greater Austin only uses contact information to process donations and let you know how your investment is
helping Greater Austin thrive.
Mr./Mrs./Ms./Dr.
First Name
M.I.
Last Name
Home Address
Apt.
City
State
Zip
Thousands of donors, volunteers,
supporters and funders contributed
on behalf of United Way for Greater
Preferred Email
� Personal � Work
Preferred Telephone
� Home � Cell
� Work
Austin—and our community—in 2015.
And we’ve made a huge amount of
�
I wish to remain anonymous in publications.
progress to show for it. With your help,
we can make even more progress in
2016 and beyond.
Here are some of the things our 2015
philanthropists helped us accomplish:
Step 2: Please select how you plan to give
� EASY PAYROLL DEDUCTION
I want to contribute the following each pay period:
Middle school students received behavioral
health, tutoring, mentoring, and quality
� $50 x
yearly pay periods
� $10 x
yearly pay periods
after school and summer programming
� $25 x
yearly pay periods
� $5 x
yearly pay periods
� $15 x
yearly pay periods
� $
x
yearly pay periods
TOTAL GIFT AMOUNT: $
Children began Pre-K3 thanks to local
donors
� DIRECT GIFT
Direct gift to be paid by
:
� Cash or check (Check No._____________)
Please make check payable to United Way for Greater Austin.
� Automatic Credit Card Charge
To make your donation with a credit card or debit card, visit our secure website at
Volunteers gave us more than 241,000
or call 512.225.0363
hours of their time
� Stock
To donate stock, please check the box and visit for more information.
To see what impact other dollar
amounts will make, visit:
TOTAL GIFT AMOUNT: $
SIGNATURE
DATE
United Way for Greater Austin is a nonprofit organization as defined by section 501(c)(3) of Internal Revenue Service Code, Tax ID 74-1193439. Gifts made to United Way for Greater Austin may be tax-deductible. No
goods or services were provided in exchange for this contribution. Consult your tax advisor for more information. For contributions made through payroll deduction, refer to your paystub or payroll office for your total gift
amount. United Way for Greater Austin honors donor intent. Please email if you have any questions or concerns.
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