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HALO Workplace Campaign

Name*
First Last
Employer (if applicable)*
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Home or Cell Phone*
Save Postage
- Don’t Send a Tax Letter ($250+)
- Email my tax letter.
How would you like your information handled?*
- I prefer to remain anonymous.
- I would like my name listed.
If so, how would you like your name listed?

If you would like your spouse included, please provide both names.
Which United Way would you prefer to send your donation.
- Whiteside County
- Lee County
Consent*

By checking this box I give consent to the United Way to use my information for purposes of collecting donations for the organization.
Choose a Contribution Method
Choose your pledge method, Credit, Debit and Swipe users will be redirected to Swipe to pay with no account needed.
A. Contribute by Payroll
Payroll Deduction Total Pledge:
Payroll Deduction Amount Per Pay Period:
Payroll Deduction Pledge – I am paid:
- Bi-Weekly
B. Contribute by Cash or Check
Cash or Check Total Pledge:

Make checks available to United Way of Whiteside county.
C. Contribute by Billing Me
Bill Me ($50 Minimum)Total Pledge:
Bill Me -Send Me an invoice:
- Monthly
- Quarterly
D. Contribute by Credit – Debit – Swipe
Click here to contibute by credit or debit card.
- I would like to donate via credit or debit card.
Online donation via Credit/Debit Card or Swipe – No Account Needed.

Enter the amount you would like to donate and when you click on submit you will be taken to Swipe to finish the transaction. No swipe account needed.
Credit Card
Card Details
Cardholder Name
Total
$0.00
CAPTCHA
Signature*

United Way 2023 Membership Requirements Completed

HALO Workplace Campaign

Choose a Contribution Method

A. Contribute by Payroll

B. Contribute by Cash or Check

C. Contribute by Billing Me

D. Contribute by Credit – Debit – Swipe