Heart of Indiana United Way Logo
Donation Amount
$
Contact and Payment information
Payment Type
Select Option
Credit Card
Payroll Deduction
Enter Amount
Amount Per Pay Period
Number of Pay Periods
One-Time Contribution
First Name
required
Last Name
required
Mobile Number
Email
required
Address
City
State
Your State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
I prefer that my gift remain anonymous
$0.00
How would you like to pay?
Pay With
Apple Pay
Pay With
Credit Card
Pay With
PayPal
This is a secure 256-bit SSL encrypted payment
Routing Number
required
What is this?
Account Number
required
What is this?
Account Type
checking
savings
Name on Account
OK
Card Number
required
Expiration Date
required
Select a credit card type.
MM
01
02
03
04
05
06
07
08
09
10
11
12
/
Select a credit card type.
YY
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
This field is required.
Expired Credit Card
CVV
required
What is this?
Discover, Mastercard, Visa
3-Digit Card Verification Number
American Express
4-Digit Card Verification Number
OK
I would like to cover the payment processing fee.
Donor hereby approves the payment of the charitable donation and/or purchase to Heart of Indiana United Way and in the amount set forth herein.
Google ReCaptcha Response
I would like to direct my gift to a specific United Way program, non-profit organization, or county.
Choose how you would like to designate your gift
Select Option
United Way Impact Area
A Specific County
A Specific Nonprofit
Select the United Way impact area that you would like your gift to support.
Select Option
Education
Health
Financial Stability
Equity Advancement Fund
Please select the county that you would like your gift to support.
Select Option
Delaware
Fayette
Henry
Madison
Randolph
Please list the name and address of the non-profit you would like your gift to support.
Donation amount
SUBMIT
Processing...