Donate with a Credit Card through the secure online site provided for us by United Way of America

OR

PRINTABLE PLEDGE FORM

Please print this page (2 pages), complete all information and mail to:
United Way of Greater Williamsburg, 312 Waller Mill Road, Suite 100, Williamsburg, VA 23185

Name: ______________________________________________

Address: ____________________________________________

City: _________________ State: __________ Zip: __________

eMail: ________________________ Phone: _______________________

Signature: __________________________________________

Amount of Pledge: ____________________________________

Note: Information you provide is used only to properly credit your contribution and communicate with you about United Way and related program information. We respect the privacy of our donors and do not rent, trade or sell this information.

Are you paying by check today? If yes, what is the check number? ___________

______ Please bill be directly ($50 minimum pledge

_______ Please charge my Credit Card (please remember to sign above & $50 minimum credit card charge.)

Are you using: VISA Mastercard What is the amount: ______________

Expiration Date of Credit Card: ______________________

Name as it appears on Credit Card: _______________________________________

Would you like your pledge to provide Community Wide Care? Yes No (Circle One)

Would you like to designate your gift to an agency of your choice (must be a 501(c)3 non-profit)?  
$50 mimimum pledge per agency. (please include the name and address or telephone number of the 501(c)(3) charity)

Please make all checks payable to United Way of Greater Williamsburg

Gifts of $500 or more are acknowledged by membership in the Burgesses Club. Please indicate how you would like your name(s) to appear in the Burgesses Book.

_______________________________________________________

Patrick Henry Society is a pledge of $500 to $999

Peyton Randolph Society is a pledge of $1000 to $1999

Thomas Jefferson Society is a pledge of $2000 to $2999

George Washington Society is a pledge of $3000 or more

____ I prefer my name not be publicly aknowledged.

NOTE TO DONORS: Funds may be designated to any health and human service agency, in accordance with Internal Revenue Code Section 501(c)(3). If for any reason we cannot process your designation, we will make every effort to contact you so that you may redirect your contribution. If we are unable to contact you, your designation will be redirected to benefit local United Way programs. Agencies receive the amount designated to them, less administrative and uncollectible fees. No compensation, goods or services have been given by the United Way of Greater Williamsburg in return for this contribution.

Thank you for your gift

You will receive a receipt for your paid gift in the mail within 1 to 3 months

Thank you.

Please Mail To:

United Way of Greater Williamsburg
312 Waller Mill Road, Suite 100
Williamsburg, VA 23185

CLICK HERE to find out where your gift goes!