Enter your information for the 2021-2022 United Way campaign. *Note: This form works best with an updated browser such as Chrome or Safari.United Way respects your privacy. We never release or sell donor information.School or SiteChoose your school or siteCentral Davie AcademyCentral Davie Education CenterCentral OfficeCooleemee Elementary SchoolCornatzer Elementary SchoolDavie County Early CollegeDavie High SchoolMaintenanceMocksville Elementary SchoolNorth Davie Middle SchoolPinebrook Elemenary SchoolPreschool ServicesShady Grove Elementary SchoolSouth Davie Middle SchoolTransportationWilliam Ellis Middle SchoolWilliam R Davie ElementaryFirst NameLast NamePhoneEmailPreviousNextYour AddressAddress Line 1Address Line 2CityStateZip CodePreviousNextWhat is your preferred method of donation? Credit/Debit Card Check Cash Payroll DeductionTo donate Stocks or Securities, contact the United Way at 336-751-0313 or ctaylor@davieunitedway.org.PreviousNextPayroll DeductionOne Time or Monthly Gift One Time Gift — September 2021 Payroll Monthly Gift — 9 Months starting September 2021One Time Gift Amount Amount Per Pay Period$Number of Pay PeriodsTotal GiftCredit/Debit Card DonationOne Time Credit/Debit Card DonationPlease 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 an envelope with your name on it. Turn cash donations in to your United Way Campaign Site Director by Tuesday, August 31st.Click the NEXT button to continue. Check DonationAmount of DonationPlease make out the check to “United Way of Davie County” and add your school name/site in the Memo section. Place your check in an envelope with your name on it.Turn checks in to your United Way Campaign Site Director by Tuesday, August 31st.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. (Available for gifts $50+)OptionalBuckle-Up DavieCancer Services, Inc.Davie County 4-HDavie Center for Violence PreventionDavie Family YMCADavie Senior Services Meals on WheelsFarmington Community CenterIgnite DavieThe Dragonfly House, CACThe Salvation ArmyOther (see below)Other Designation (not in list above)PreviousNextPlease 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 UW Campaign Site Director, Payroll Services, and the United Way.Thank you for investing in the strength of our community! Together we are making a difference in the lives of Davie County families every day.PreviousSubmit Form
