• Welcome to the 2024 Baptist Memorial Health Care Campaign!

    The United Way mobilizes and aligns resources to tackle tough problems in our communities. Through your contributions, United Way advances the common good by focusing on education, financial stability, and health – the building blocks for a good quality of life and a strong community.

    Our Baptist Memorial Health Care campaign goal is to raise $75,000.

    Join in and give...because great things happen when we LIVE UNITED.

  • COMPLETE DONOR INFORMATION

  •  - -
    Pick a Date
  •  -

  • DECIDE HOW MUCH TO CONTRIBUTE AND HOW TO GIVE


  • Pledge Form Section

    DISTRIBUTE YOUR INVESTMENT
  •  
  •  

  • Write-In Option

    When designating to a NON-UNITED WAY AGENCY, the agency must meet the following criteria to be qualified to accept a United Way designation:

    1. It must be recognized as a public charity by the Internal Revenue Service. (It must be a 501(c)(3) agency and not a private foundation).
    2. Non-United Way Agencies must submit a Counterterrorism Compliance form in compliance with the USA PATRIOT ACT.
    3. A minimum annual gift of $50 per agency may be donated.
    4. You must renew your donation to any non-United Way Agency each year. It will not automatically carry over year-to-year.
    5. In cases where guidelines and criteria are not met, United Way of the Mid-South will make reasonable efforts to contact the donor; however, if attempts are not successful, the contributions will be allocated through United Way’s Community Impact Fund.
    6. Non-United Way agencies may not be organized for the arts, religious, and/or political purposes. Nor may donations through United Way be made to individual schools or for capital campaigns.
    7. Corporate matching contributions are not eligible for donations through United Way. In order to notify agencies promptly of your gift, please provide your home address and email on the front of this form.
  •  

  • Personal Time Off (PTO) Donation Authorization Section

  •  
  •  

  • DONOR DEMOGRAPHIC INFORMATION (Optional)

    Please help us better understand our donor profile by sharing the information below:



  • Crediat Card Payment

  • PTO Authorization Form

  • I authorize my Personal Time Off (PTO) hours to be deducted from my current available balance. The cash value (number of hours x hourly rate of pay minus taxes) of my donation is to be donated to the Baptist Memorial Health Care Foundation as I have designated. I am aware that the PTO donation will be deducted as a payroll deduction, and I must retain 40 hours of PTO to make the donation valid.


    I understand that I have donated these PTO hours to the Baptist Memorial Health Care Foundation and that they are no longer available for my personal use.

  • Clear

  • Payroll Authorization

  • I authorize my employer to deduct the necessary amount(s) from each paycheck. I understand this authorization will continue unless otherwise specified by me in writing. If applicable, I authorize United Way of the Mid-South to make a charge to my credit card, next to my name as indicated above for the amount stated. I understand that if I DO NOT wish to remain anonymous, my name will be visible and all other contact information will be kept confidential. United Way of the Mid-South does not provide goods or services as a whole or partial consideration for any contribution.

  • Clear
  •  - -
    Pick a Date
  • Should be Empty: