UWFC Recurring Donation Form

RECURRING DONATION FORM: United Way of Franklin County

Become a Community Builder for United Way of Franklin County, today!
IMPORTANT: If you are giving as part of an Employee Campaign, please visit uwfcpa.org/workplace-giving and click the "Online Pledge Form" button. That Online Pledge Form is the one you should complete - not this form.
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Is this an Individual Gift or a Corporate Gift?

I am donating as an individual/coupleThis is a corporate gift
Company
What is the name of the company to be recognized for the corporate gift?
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date

MonthDayYear
Date
Your Name(s) as you'd like it to appear in published materials.
Include spouse/partner's name if you would like to be recognized together. (ex. John and Jane Doe)
I prefer to remain Anonymous - (If you select yes, your name will not be listed in any donor recognition)

NoYes
Did you want to make a one-time gift? Please click here!

Your Recurring Gift*

Monthly Donation(USD for each month)

Please note: Minimum amount for an online donation is $10.

Quarterly Donation (USD for each three months)

Please note: Minimum amount for an online donation is $10.

Total $0.00Total $0.00

If you wish to direct your donation to a specific program or focus area, please indicate using the dropdown below. The "Community Impact Fund" is our general fund benefiting our Program Partners, which are listed at www.uwfcpa.org/program-partners.
Your Impact
Where would you like to direct your funds? (Read paragraphs above for further details)
Any additional information UWFC should know about this gift?
I am interested in receiving...

Email Updates from UWFCVolunteer OpportunitiesInformation on Planned GivingSponsorship Opportunities for BusinessesOther
Please verify that you are human
By selecting a recurring contribution, you are agreeing that the credit card you enter on the form may be charged the amount designated at the frequency designated (monthly or quarterly) with no pre-scheduled cancellation date. Recurring contributions can be modified or canceled at any time by calling 717-262-0015 or emailing office@uwfcpa.org.

NOTE: Minimum amount for online donation is $10. Please make sure your donation is $10 or above before clicking submit, otherwise your transaction will not go through.
Once you click the "Submit" button, please do not refresh or exit out of the window. Once the pledge form is submitted, you will be redirected to the United Way of Franklin County website.

An email confirmation will be sent to you.
Should be Empty: