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To make your donation to the Upper Valley United Way, simply fill in the following form:

First Name:

Last Name:

E-Mail:

Mailing Address:
 
City:
State:
Zip:
Telephone:
I want my gift to help the most people. I want local volunteers to distribute my gift to provide help where the need is greatest.
I want my gift to go to these tax-exempt agencies. A small processing fee will be deducted from gifts to non United Way agencies.
  $
  $
 

Please have these agencies acknowledge my gift(s) at:
mailing address, email address above.

I want my gift to exclude one agency. I understand that my gift will go to all Upper Valley United Way agencies except the one listed here.
 
   
Pledge Information

This year I/we will give:

$

Please bill me at the address above:

 

Monthly Quarterly Semi-Annually In Full

Please charge my credit card

 

Visa MasterCard Amex Discover

Card Number:

Expiration Date:

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My/our gift is $500 or more. Please enroll me/us in United Way's Pacesetter Program for leadership giving.

 

 

 
 
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