Pledge Form - United Way For Greater Austin
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1
2PLEDGE FORM
THE END OF POVERTY STARTS HERE
STEP 1 / PROVIDE YOUR CONTACT INFORMATION
United Way for Greater Austin (UWATX) respects your personal information. We will only use your contact information for gift processing and
acknowledgement. We do not disclose donor information to any third parties.
Mr./Mrs./Ms./Dr.
First Name
M.I.
Last Name
Home Address
Apt.
City
State
Zip
Home
Mobile
Work
Work Email
Preferred
Telephone
Personal Email
Preferred
I would like my gift to remain anonymous. Please don’t include my name in any donor lists or publications.
STEP 2 / CHOOSE HOW YOU PLAN TO GIVE
JOIN A UWATX GIVING SOCIETY
EASY PAYROLL DEDUCTION
(more information on back)
I want to contribute the following amount each pay period.
YOUNG LEADERS SOCIETY
$100
$50
$35
$25
$15
$10
Age 40 or under, total annual gift of $250 or more to UWATX
Other Amount ________
WOMEN UNITED
Total annual gift of $1,200 or more to UWATX
x
=
# of pay periods
$ each pay period
total gift
CENTURY INVESTORS
Total annual gift of $2,500 or more to UWATX
DIRECT GIFT
I want to contribute the following amount:
TOCQUEVILLE SOCIETY
Total annual gift of $10,000 or more to UWATX
$2,500
$1,200
$1,000
$500
$250
$100
$50
Other Amount ________
Cash or Check No. _________
circle one
Please make check payable to United Way for Greater Austin.
Credit Card
(can be a one-time gift or recurring monthly donation)
To make your donation with a credit or debit card, visit our secure website at
or call 512-225-0392
Stock
To donate stock, please visit for more information.
SEE REVERSE FOR MORE INFORMATION
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