Please use the pledge form below to make an online pledge. A bill will be sent to the address that you provide. Note: If you wish to donate now or set-up deductions with your credit card please click here. Is this an Individual or Corporate Pledge (please select one): * Individual Pledge Corporate Pledge Name of Corporation (if a corporate pledge) Title * Mr. Mrs. Ms. Dr. First Name * Middle Initial * Last Name * Email Address * Spouse's Name Spouse's Email Mailing Address * City * State * Zip Code * Phone Number * Phone Number (specify cell, work, or home) (Ex. Cell Number) * Workplace * Pledge Amount ($100 min. annually) $ * Please enter the amount you wish to be billed for each billing cycle (ex. $50 a month). You will select your billing frequency on the next line. Please send me a bill for this pledge * Once a year (enter date below) Monthly Quarterly United Way of Northwest Georgia will send a bill as a reminder of your pledge. If you selected once-a-year billing, what month do you wish to be billed? My gift qualifies me for membership in the following Leadership Giving societies (check all that apply) Alexis de Tocqueville ($10,000 plus) Leadership Circle ($1,000-$9,999) Women's Leadership Council ($1,000 plus) Young Leaders Society ($365 plus) Peacock Legacy Society Please contact me about how to include United Way in my estate plans. Anonymous I would like for my gift to remain anonymous. This gift is in memory or in honor of:
