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Pledge to United Way
Directions
To make a pledge to the United Way of Morrow County, OH,
simply print this page;
fill out the form and mail it to the address on the bottom of this
page.
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Name of Giver: ________________________
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Type of Pledge
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Address:
________________________ |
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Individual |
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City, State,
Zip ________________________ |
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Employee |
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I wish to
have my contributions designated to ________ county. |
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Company Name |
Choose to make a either
direct contribution or Payroll Deduction, below: |
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Direct Contribution |
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$________ |
Total Pledge |
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$________ |
Paid Now |
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$________ |
Balance Due |
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Bill Me for Balance Due |
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______ |
Once on (date) ___/___/___ |
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______ |
Quarter: Dec/Mar/Jun/Sept |
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______ |
Other
_________________
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Payroll
Deduction Pledge
I authorize by employer to deduct:
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$__________ |
=
1 hour pay per month |
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$__________ |
=
per pay |
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$__________ |
=
Per month
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Customer's Signature:
___________________________________Date _________
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United
Way of Morrow County,
PO Box 84,
17 1/2 West High St. Mt. Gilead, OH 43338
(419) 946-2821 |
