Forvis 2024 Campaign Form

Name*

First NameLast Name
Email*
Your personal information is kept confidential. Mesa United Way uses this information to acknowledge your gift, provide necessary tax receipts, and communicate how your gift is helping the community.
Employee ID
Please enter your company ID number.
Amount per Paycheck:*

$5$10$25$50Other
Number of Paychecks/Year
Total Annual Pledge:
Amount per paycheck x your number pay periods
Optional Gift Designations (Undesignated gifts will support Mesa Unites Fund. Designations total should not exceed annual gift.)
Any other information you need to communicate? (optional)
THANK YOU FOR YOUR DONATION, {name}!
Signature*

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Your contribution is tax deductible to the extent allowed by law. No goods or services were provided in exchange for this contribution.
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