United Way of Southwest Michigan ACH Form

ACH Payment

This is a one-time ACH Payment. If you'd like a subscription created for this payment to recur weekly or monthly, just email donations@uwsm.org or call Donor Relations at (269) 982-1700.
Name

First NameLast Name
Company Name (if applicable)
If you are donating as part of a company gift or campaign, please fill in your company name to attribute this gift to your campaign. If you are donating as an individual, leave this line blank.
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address 2

CityState

Zip Code

USDThis is a one-time payment.

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Bank Account Type
Routing Number	Account Number
Name On Account	Bank Name

ACH Payment