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United Way of Whiteside County

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About Us
Our Work
Funding
- Agency Application
- Whiteside County EFSP
Campaign
Donate
- Donate
- Workplace Donation
Volunteer
Contact Us

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Home
About Us
Our Work
Funding
- Agency Application
- Whiteside County EFSP
Campaign
Donate
- Donate
- Workplace Donation
Volunteer
Contact Us

Workplace Donation

Workplace Donation

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.
Consent*

By checking this box I give consent to the United Way of Whiteside County, Illinois to use my information for purposes of collecting donations for the organization.
Choose a Contribution Method
Choose your pledge method.
A. Contribute by Payroll
Payroll Deduction Pledge – I would like to donate:
- 1% of my salary
- 1 hour of pay per week
- Another amount
Payroll Deduction Total Pledge:
Payroll Deduction Amount Per Pay Period:
Payroll Deduction Pledge – I am paid:
- Weekly
- Bi-Weekly
- Semi-Monthly
- Monthly
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
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Signature*

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United Way 2021 Membership Requirements Completed

© 2021 United Way of Whiteside County
All Rights Reserved.

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