Erath County United Way Pledge Card

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					                                          Erath County United Way
                    P O Box 1352, Stephenville, TX 76401
                www.erathcountyuw.org | ecuw@embarqmail.com

                                        Erath County United Way Pledge Card
We invite you to LIVE UNITED and join us in creating opportunities for a better life for all Erath County residents by filing
out this Pledge Card and returning to ECUW or your local campaign coordinator.


Name: __________________________________________________


Address: ________________________________________________


City: _____________________________ Zip __________________


Work Phone: _______________ Home Phone ________________


Email: __________________________________________________
     (Your information is confidential to ECUW)

My Total Annual Gift is $_________________

____ I am a Leadership Giver ($500.00 or more)

____ I’d like my gift to remain anonymous

____ I plan to contribute through my employer

I have given to United Way for _________ years
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Type of Gift

____ Individual
Bill me:     Once _____ Monthly _____ Quarterly ______

Bank Draft (attach voided check) $25 minimum
Once _________ Monthly ______ Quarterly ______

_____ Charge My Gift

____ Visa _____ MasterCard ____ AmE x ____ Discover


Card Number _____________________________________

Expiration Date _____ / ______


SIGNATURE: ____________________________________
-----------------------------------------------------------------------------------------------------------

Corporate / Company Name:
____ Corporate / Company Name: (payroll deduction)

_______________________________________________

One time contribution $ ____________________________

Monthly $ _______________________________________

Quarterly $ ______________________________________

Per Pay Period $ _________________________________

SIGNATURE: ________________________________________

Tel: 254-965-4429                                                                                             Page 1 of 1
Fax: 254-968-2000