Your Name:
Address:
City, State, Zip:
Contribution by Check .
I will send a check in the amount of $
Contribution by Credit/Debit
Card .
I will send a secure payment via PayPal in the amount of $
You will receive instructions on paying by
Check or Credit/DebIt card after you SUBMIT this form.
Billed Pledge .
I wish for the Union Way of Union County to bill me for my pledge of $
Investor Options
Check here if you wish to remain anonymous.
Check here if
you wish to receive e-mail updates about how your investment is helping United Way in our community. Please provide
your e-mail address in the space below. (Read our Privacy Policy HERE. )
Check here if you want to learn about volunteer opportunities.
Please select ONE of the following options:
United Way of Union County
can maximize your gift and use it to make the greatest possible impact if you check here and do not
check below. That's because United Way volunteers are always assessing the areas of greatest need in our community
and working to find the best possible solutions.
Designate my gift to the following Impact Area :
SELECT ONE FROM THIS LIST
1. Emergency and Basic
2. Youth Services
3. Senior Services
4. Health & Human Services
(Please note: Donations must be $50 or more to designate)
1. Emergency and Basic Needs (Shelter, housing, food, medication, personal hygiene
items, bloodmobiles, disaster relief, CPR, first aid training
2. Youth Services (Drug & alcohol prevention, child care, scouting, mentoring, after-school activities.
3. Senior Services (On-site meals, activities, socialization, and life-enhancing programs)
4. Health & Human Services (Hospice care, financial support for cancer patients, mental health
recovery, and legal aid)
Designate my gift to the United Way Agency I have selected below:
(Please note: Donations must be $50 or more to designate)
SELECT ONE FROM THIS LIST
American Red Cross Union County Chapter
Big Brothers Big Sisters of Union County
Boy Scouts Simon Kenton Council
Child Care Network
Community & Seasoned Citizens
Community Services Association
Consolidated Care, Inc.
Dolly Parton Imagination Library
Girl Scouts of Ohio's Heartland
Legal Aid Society
Loving Care Hospice
Marion Shelter Program
Marysville Area Ministerial Association
Marysville Food Pantry
Memorial Hospital Memorial Meals
Memorial Hospital Speech Language & Hearing
Mental Health America of Union County
Milford Center Food Pantry
North Union Local School District Personal Needs Pantry
Plain City Food Pantry
Plain City Free Clinic
Pleasant Valley Seniors
Richwood Civic Center
Richwood Emergency Assistance Program
The Salvation Army
Turning Point
Union County Cancer Society
Union County Family YMCA
Union County Health Department Prescription Assistance Program
Union County Personal Needs Pantry
Windsor & Community Seniors
Wings Enrichment Center
Youth Arts & Recreation Grant Fund
Employer:
Address:
City, State, Zip:
Suggested Levels of Giving
1% of your annual pay
The Fair Share (equals 1 hour pay per month)
The Standard -- $160 (equals the average individual gift to United Way of
Union County)
The Insider -- $100 (Receive the Community Care Card Coupon Card and the quarterly
Contributor newsletter)
The Buck-a-Week Club (equals $52)
Levels of Individual Giving
This is United Way of Union County’s Leadership Giving levels.
Learn more about The Pillar Society
$2,500 and up—Platinum Pillar
$1,000 and up—Gold Pillar
$750 and up—Silver Pillar
$500 and up– Bronze Pillar