United Way of Wise County

United Way of Wise County
300 N. Trinity, Ste C
P.O. Box 213
Decatur, TX 76234
Tel/Fax 940.627.2111
uway@ntws.net
www.wisecountyunitedway.org
 
2010– 2011 PLEDGE  FORM - CAMPAIGN to Advance the Common Good                              

ABSOLUTELY! You can count on me! I choose to “LIVE UNITED”!

I understand that I can send you my pledge now and send the actual cash later, if I desire.
Here’s my pledge to help our youth, our elderly and our neighbors in need.

TOTAL ANNUAL PLEDGE:    $100        $250       $500        $1,000   Other amount: ___________             
 
CASH NOW WITH PLEDGE (enclosed): _________________ BALANCE DUE UNITED WAY: _____________

For Balance Due, please bill me:

     _____Annually, beginning__________________
     _____Quarterly, beginning_________________
     _____Other (please specify)_______________­­_
 
Name: _________________________________________  Address: ____________________________________
              (Under which you wish your donation to be recorded)

City: _______________________ State: _________ Zip: ____________ Phone: _______________________
 
Signature: _________________________________________________________

(If you wish your donation to remain anonymous, please initial here: ___________.)

Comments: _________________________________________________________________
                  _________________________________________________________________ 

 Thank you! Your contribution is very important to the people of Wise County. Please return completed form as soon as you can to UWWC at the address shown above or to our fax number (940-627-2111).