Important Pledge Card Instructions
IN oRDER To PRoPERLy MAkE A DoNATIoN WITH oUR NEW INTERACTIVE
PLEDGE CARD, PLEASE READ AND FoLLoW THESE INSTRUCTIoNS CAREFULLy.
open the pledge card in Acrobat Reader. Fill in the form completely and save it to your
computer for your records. once the form is completed and saved, email it as an attachment
to email@example.com. you will receive confirmation within a few days via email. If you
have any questions, please call the United Way of Mercer County at 724-981-1884.
2008 CAMPAIGN United Way Pledge Form CoDE: PREVIoUS GIFT:
MR/MRS/MS/DR FIRST NAME MI LAST NAME
HoME ADDRESS (For credit card charges, address listed must be your billing address.) CITy of Mercer County
STATE ZIP HoME PHoNE DAyTIME PHoNE
CoMPANy NAME o Register me for the United Way
Loyal Contributors Program
HoME EMAIL ADDRESS
I have been contributing to
United Way for _____ years.
Want to see how your contribution is making a difference? o I’d like to hear from United Way about
Please provide your home email address so we can show you how your contribution is making a difference and provide opportunities to give, advocate and volunteer all year long. how my contribution is getting results.
2008 CAMPAIGN PleAse seleCt PAyRoll dedUCtIoN oR A dIReCt GIFt. o MY GIFT OF $1,000 OR MORE
qualifies me for membership in the United Way
100% of your donation stays right here in our community! of Mercer County Honor Society. My name will be
o DIRECT GIFT - BILL ME
(choose one) listed as it appears on the opposite side of this form.
o EASY PAYROLL DEDUCTION o DIRECT GIFT
My total annual gift ❍ Balance Due
AMoUNT $ ❍ once on (date): __________
o MY GIFT OF $250 OR MORE
qualifies me for membership in the Women's
Direct gift to be paid by: ❍ Semi-Annually Leadership Initiative. My name will be listed as it
❍ Quarterly: April 1st, July 1st, appears on the opposite side of this form.
A. I want to contribute the following ❍ Cash
october 1st, January 1st
amount each pay period:
❍ Personal check (enclosed) ❍ other (dates):____________ AMoUNT $
❍ $50 ❍ $25 ❍ $10 ❍ $5
❍ Securities (please call
other $ 724-981-1884 when you are ❍ Please list my/our name(s) as follows:
SUGGESTED GIVING AMOUNT:
ready to transfer funds) ANNUAL INCoME ANNUAL GIFT
B. I pledge % of my salary, for .............................................
$5,000 - $25,000 $30 - $200
a total gift of $ $25,000 -$50,000 $200 - $500
$50,000 - $100,000 $500 - $2,000 .............................................
$100,000 & up $2,000 & up
❍ I prefer that my gift remain anonymous.
Please check the accuracy of all your entries.
Thanks for investing in United Way.
Thank you for your contribution through the United Way campaign. No goods or services were provided in
The official registration and financial information of United
exchange for this contribution. Please keep a copy of this form for your tax records. you will also need a
Way of Mercer County may be obtained from the Pennsylvania
copy of your pay stub, W-2 or other employer document showing the amount withheld and paid to a Department of State by calling toll free, within Pennsylvania,
charitable organization. Consult your tax advisor for more information. 1-800-732-0999. Registration does not imply endorsement.
Advancing the Common Good: Creating Opportunities for a Better Life for All
Everyone deserves opportunities to have a good life: a quality education that leads to a stable job, enough income to support a family through
retirement, and good health. That's why United Way's work is focused on the building blocks for a good life:
Education: Helping Children and Youth Achieve • The United Way of Mercer County funds local agencies that work
Their Potential – Success by Six™ with lower-income individuals to increase their ability to become self-
sustaining, productive members of society and increases family stability.
• Children entering kindergarten with skills they need to succeed are more
likely to graduate from high school and become productive workers. But • Just a few examples of the programs offered by our funded agencies that
almost half of America's kindergartners are behind – those from low-wage promote financial stability and independence include: life skills education
households by two years. Most will not catch up. activities, financial management classes, social skills programs, special
parenting workshops, interpersonal skill development and skill building
• Several years ago the United Way of Mercer County partnered with opportunities.
the local school districts to develop a Success by Six™ Pre-k Summer
Program. This program has been directly responsible for assisting Health: Improving People's Health
in school readiness training for over 500 Pre-kindergarten children
throughout our communities. • United Way addresses pressing health and healthcare issues facing
communities across the country. Community by community, United Ways
• Collaboration – The United Way encourages collaboration between and their partners target childhood obesity, health insurance coverage,
businesses and organizations to keep costs of running programs down healthcare quality, childhood immunizations, substance abuse, family
and the achievements of the programs high. To make Success by Six™ violence, oral health or other healthcare concerns voiced by their
work effectively the United Way developed a collaborative effort between community.
the local school districts and local hospitals.
• FamilyWize Prescription Drug Discount Card covers all prescription drugs,
Income: Promoting Financial Stability and Independence and is accepted at most pharmacies nationwide. This card enables
pricing at the lesser of the discounted price or pharmacy's retail price.
• As many as one-third of working Americans do not earn enough money
to meet their basic needs. These individuals are walking a financial • Go to www.familywize.org for a list of participating organizations and
tightrope – they are barely able to get by, with no ability to save for pharmacies, additional cards, drug prices, and other program information.
college, a home, or for retirement.
Live United Means Advancing the Common Good
Advancing the common good is less about helping one person at a time and more about changing systems to help all of us. We are all connected and interdependent.
We all win when a child succeeds in school, when families are financially stable, when people are healthy. United Way's goal is to create long-lasting changes by
addressing the underlying causes of these problems. Living united means being part of the change. It takes everyone in the community working together to create a
brighter future. Give. Advocate. Volunteer. LIVE UNITED.
HERE'S HOW YOU HELP:
American Red Cross $61,045 F.H. Buhl Club $68,880 Mental Health Association
Mercer County Chapter $8,000* (724) 981-3700 of Mercer County, Inc. $21,922
(724) 981-3205 (724) 347-1303
Girl Scouts of U.S.A. $13,000
Trumbull County Chapter Penn Lakes Council $4,000* Mercer Area Library $16,000
(330) 392-2551 (800) 445-9170 (724) 662-4233
ARC Mercer County $70,000 Good Shepherd Center $0 Mercer County Family Center $3,000*
(724) 981-2950 $5,500* (724) 588-2210 $10,000* (724) 588-2404
A.W.A.R.E. $0 G.R.A.S.P. $1,000* Mercer County Juvenile
(724) 981-1457 $4,000* (724) 588-3671 Advisory Council, Inc. $9,000
Hotline (888) 981-1457 (724) 662-5435
Greenville Area Leisure $0
Boy Scouts of America, Inc. $16,000 Services Association $35,000* Prince of Peace Center $33,000
French Creek Council $1,500* (724) 588-4810 (724) 346-5777 $1,000*
(800) 851-2392 Greenville Public Library $0 The Salvation Army
(724) 588-5490 $13,000* Shenango Valley Corp. $80,990
Brandy Springs Park $20,000 (724) 347-5537
(724) 662-4032 Grove City Meals-On-Wheels $600
(724) 458-5371 Mercer Service Unit $1,800
Catholic Charities Counseling (724) 662-1824
& Adoption Services $28,000 Helping Hands $1,000*
(724) 376-3231 Greenville $11,000*
(724) 346-4142 $1,800* (724) 588-5190
(800) 350-2699 Keystone Blind Association $80,450
(724) 347-5501 $12,000* Shenango Valley Urban League $78,528
Children’s Aid Society (724) 981-5310
of Mercer County $29,000 Lakeview Library $1,000*
(724) 662-4730 $13,000* (724) 376-4217 Shenango Valley YMCA $53,000
Children’s Center Lakeview Meals-On-Wheels $750
of Mercer County $28,000 (724) 376-4088 $500* Success by 6® “Summer Program
(724) 342-3738 $2,500* for Pre-kindergarten Children” $95,700
The Literacy Council $8,755
Community Counseling Center $48,000 of Mercer County $3,500*
of Mercer County $4,500* Greenville Center (724) 588-6141 TOTAL: $999,220.00
Main office (724) 981-7141 Sharon Center (724) 981-5494
Greenville office (724) 588-6490 *Northern Mercer County United Way Allocated Funds.
Grove City office (724) 458-4144