Fillable Uwatx Pledge Form (Page 2 of 2) in pdf

Donor Designation Page (This page is optional)

When you donate to United Way for Greater Austin, you have the option to direct the distribution of your gift. Please fill out the other side before completing this side.

Please check the box on the left where you’d like to invest and indicate the amount in the corresponding purple box.

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MAKE THE GREATEST IMPACT!

United Way for Greater Austin helps our community overcome barriers to economic opportunity and continue

to thrive. We are solving problems not just for one person with one need, but creating solutions for a large

community with large needs.

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Target my support to UWATX’s strategic programs:

Get children ready for kindergarten

Our Success By 6 program works to make sure every child is ready for kindergarten by improving child care, providing

parent education, and supporting early literacy services.

Support middle school student success

Our Middle School Matters program provides support services proven to positively impact students, ensuring they are on

track for high school success.

Help families become financially stable

Our financial stability work focuses on strengthening educational and workforce support for families using the “two-gen”

approach: addressing needs of both children and their parents together to promote upward economic mobility for this

generation and the next.

Connect community members to important services

Our health work includes the United Way Navigation Center, which helps callers access health and human services, and

supports our work in education.

� Restrict my dollars to a nonprofit agency

Minimum

$50

UWATX will send your gift, your name and address unless otherwise specified.

annually*

Nonprofit 501(c)3 Organization Name

Employer ID Number (EIN)

TOTAL

Address (Required)*

City

State

Zip

� Please do not release my information to my restricted agency.

MY GIVING SOCIETIES

Please make sure this

matches the total from

Please check the box for any groups you would like to join or find out more about.

the front page.

□

Century Investors

Leadership Givers

I gave $2,500 or more. Century Investors contribute

I gave $1,000 or more to UWATX and/or a UWATX program.

$2,500 or more annually. Members who give $10,000 or

□

Women’s Leadership Council

more annually are additionally recognized as Tocqueville

I gave $1,200 or more to UWATX and/or UWATX’s Success By 6

Society members. (Interested in our Step-Up Program? Visit

program.

to learn more.)

□

Young Leaders Society

Loyal Contributor

I gave $250 or more to UWATX and/or UWATX’s Middle School

I have been giving to United Way for 10 years or more.

Matters program and I am under 40 years old.

Year of first gift:

DATE

SIGNATURE

* If you do not provide the address of the nonprofit organization or your gift is less than $50, your donation will be redirected to UWATX.

If an agency you designate to is not a qualified 501(c)(3) tax-exempt organization, if the information is incomplete or if your designation is less than $50, your gift will be redirected to United Way for Greater Austin

in support of our work in the community. 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.

Uwatx Pledge Form Page 2

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