Name *

First Name

Last Name

Preferred Phone *

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Address *

Address 1

Address 2

City

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United Way invests in organizations that are impacting the areas listed below. We strive to ease our affiliate partners fundraising burdens, so they can focus on doing what they do best — serving the individuals in our communities. *

If you prefer, you may designate your contribution to a specific local nonprofit organization. To choose this option, click on the checkbox next to "Other..." and type in the name of the organization you wish to support. ($100 minimum donation on designated gifts; a 7% administrative fee applies.) I’d prefer that my gift be invested in...

Education

Health

Financial Stability (Basic Needs)

ALICE Support Fund

No Preference

Other Local Nonprofit Organization (specify in comments)

I would like my gift to remain anonymous *

Yes

No