United Way of the Virginia Peninsula Pledge Form 2019/2020

MY TOTAL GIFT

THIS YEAR IS

$_________

Please sign your form

below and choose your

method of payment on

the left.

EASY PAYROLL DEDUCTION

PAY NOW by: CASH CHECK BILL ME One-Time Monthly Quarterly

CHARGE MY CREDIT CARD: One–Time Monthly Quarterly

Card Number: ___________________________________________ Expiration Date: _________________

______________ ________________________________________________ _____ _________________________________________________________ ________

Mr/Mrs/Ms/Dr First Name MI Last Name Suffix

_______________________________________________________________________________ __________________________________________________________

Email: Personal / Work (Circle one) Phone Number: Home / Work / Cell (Circle one)

__________________________________________________________________________________________________________________________ _______________

Home Address Suite/Apt #

_______________________________

Zip Code

___________________________________________________________________________ _____________________

City State

___________________________________ Birth Date

___________________________________________________________________________

Name as you would like it to appear on recognition materials

YES! I want to designate funds to a specific 501(c)3.

See reverse side for a complete list of UWVP'spartner agencies.

Total $ _______________________________

Name or code of Nonprofit(s):______________

___________________________________________

___________________________________________

Please deduct $ _______ from each paycheck.

Deduct over # ________ pay periods.

* When you give more you get more! When you donate $150 or more, you receive the SmartCard.Enjoy year-round discounts at participating businesses, restaurants, and services!

Do not send me a Thank You letter

Do not publically acknowledge

Do not release my information to agencies

YES! I want to join United Way’s mission to end poverty.

Use my gift of $_______________ to support United Way’s mission to help fight for the

health, education and financial stability of every person in our community.

Women United (annual gift of $250 or more)

Emerging Leaders Society (annual gift of $100 or more )

* Additional Giving Options: To donate stock/securities, please call (757) 873-9328 or visit www.uwvp.org/give

_____________________________________________________________________________________________

Signature ____________________________

Date (Month, Day, Year)

More details about membership groups on reverse side

100% of your gift to United Way or it's partner agencies, goes back to the community!Thanks to the generosity of our Board of Directors, no administrative fees are taken out of your gift.

__________________________________________________________________________________ Employer / Employee ID

UNITED WAY MEMBERSHIP GROUPS

Women United is a group of like-minded women who believe that collective giving and volunteer service can make a substantial impact on reducing poverty in our community. As a member of Women United, you will have an opportunity to participate in various leadership capabilities. Through philanthropic events, or enrichment and volunteer opportunities, members of Women United will have a variety of ways to stay involved throughout the year.

Women of Tocqueville $10,000+ | Leading Women $5,000 - $9,999 | Women of Action $1,000 - $4,999 level | Supporting Member $250 - $999

EMERGING LEADERS SOCIETY

Emerging Leaders Society members become involved with a gift of $100 or more

United Way of the Virginia Peninsula • Two City Center • 11820 Fountain Way Suite 206 • Newport News, VA 23606 • (757) 873-9328 • www.uwvp.org

7000 United Way of the Virginia Peninsula 7001 Alternatives, Inc 7005 American Red Cross of Coastal Virginia 7048 Arc of Greater Williamsburg 4122 Avalon Center 7008 Bacon Street Youth and Family Services 7009 Big Brothers Big Sisters of the Virginia Peninsula 7012 Boy Scouts of America, Colonial VA Council 7011 Boys & Girls Clubs of the Virginia Peninsula 6744 C. Waldo Scott Center for H.O.P.E. 7013 Catholic Charities of Eastern Virginia 7028 Center for Child & Family Services 7014 Child Development Resources 1529 Colonial CASA 7017 Downtown Hampton Child Development Center 7044 Edmarc Hospice for Children 7016 Girl Scouts of the Colonial Coast 7045 Gloucester Housing Partnership 6211 Gloucester– Mathews Care Clinic 7052 Goodwill of Central and Coastal Virginia 6128 Habitat for Humanity

UNITED WAY PARTNER AGENCIES

WOMEN UNITED

The Emerging Leaders Society (ELS) is a group of passionate, community-focused professionals in their twenties and thirties who want to connect with like-minded peers, serve their community, and develop as leaders for change. ELS is a partnership between United Way of the Virginia Peninsula and the Virginia Peninsula Chamber of Commerce. As a ELS member, you gain membership to both United Way and the Chamber and you receive access to social outings, professional development events, and volunteer opportunities.

Thank you for your act of

6237 H.E.L.P., Inc. 4110 Hospice House and Support Care of Williamsburg 4111 Housing Partnership, Inc. 9227 Hampton Roads Community Action Program (HRCAP) 6253 Lackey Clinic 7050 LINK of Hampton Roads 4303 Literacy for Life 6834 NATASHA House, Inc. 7041 Peninsula Agency on Aging, Inc. 7029 Peninsula READS 7035 Salvation Army, Peninsula Command 4118 Salvation Army, Williamsburg 7053 Samaritan Group 6859 Smart Beginnings Virginia Peninsula 9013 THRIVE Peninsula 7036 Transitions Family Violence Services 5052 Urban League of Hampton Roads 7026 VersAbility Resources 7018 Virginia Peninsula Foodbank 6761 Williamsburg Faith In Action 7030 YMCA, Peninsula Metropolitan