Enter your information for the 2020-2021 United Way campaign. *Note: This form works best with an updated browser such as Chrome or Safari.Enter your information for the 2020-2021 United Way campaign. United Way respects your privacy. We never release or sell donor information.First NameLast NamePhoneEmailYour AddressAddress Line 1Address Line 2CityStateZip CodePreviousNextWhat is your preferred method of donation? Payroll Deduction Credit/Debit Card Check CashTo donate Stocks or Securities, contact the United Way at 336-751-0313 or ctaylor@davieunitedway.org.PreviousNextPayroll DeductionAmount Per Pay PeriodNumber of Pay PeriodsTotal Annual GiftCredit/Debit Card DonationOne Time Credit/Debit Card DonationPay with Card (Stripe)Please continue to the end of the form. Click SUBMIT, then you will be redirected to the credit/debit card processing page. Cash DonationAmount of DonationPlease place cash in a United Way donation envelope. Turn cash donations in to your HR manager by your campaign deadline date.Click the NEXT button to continue. Check DonationAmount of DonationPlease make out the check to “United Way of Davie County” and add your company name in the Memo section. Place your check in a United Way donation envelope.Turn checks in to your HR manager by your campaign deadline date.Click the NEXT button to continue. PreviousNextPlease add my donation to the Community Impact Fund!I want knowledgable volunteers and community experts to ensure that my dollars go where they are needed the most and will do the most good.Optional: Designate your donation. For gifts $50+Optional, Choose OneBuckle-Up DavieCancer Services, Inc.Davie County 4-HDavie Center for Violence PreventionDavie Family YMCADavie Senior Services Meals on WheelsFarmington Community CenterJust HOPE, Inc.Ignite DavieThe CARes ProjectThe Dragonfly House, CACThe Salvation ArmyOther (see below)Other Designation (not in list above)Please sign in the yellow box below via your touch screen or your mouse/trackpad below as confirmation of your donation.Signature Sign HereWhen you click “Submit Form” a copy of this form is sent to your HR Manager and United Way. Please contact your HR Manager directly with any questions about payroll deduction. Direct online donation questions can be directed to the United Way at 336-751-0313 or cshrewsbury@davieunitedway.org.PreviousSubmit Form
