United Way

United Way of Oxford-Lafayette County Logo

Contact Information

First Name

Last Name

Mobile Number

Address

City

State

Zip

Easy Payroll Deduction

I would like $______________ deducted

for _______ pay periods

Total Payroll Deduction

$0.00

Direct Gift

Cash/Check/Other: $__________

Bank Draft (Total Pledge): $__________

Bank Draft Frequency

An authorization form will be sent to you if you wish to contribute by bank draft.

Total Direct Gift

$0.00

Additional Information

I have been donating to United Way approximately ____ year(s).

Please check if this is your first gift to United Way.

Please check if you are 35 or younger.

Recognition

Name(s) in United Way Materials

I/We prefer to be anonymous.

Thank you for investing in the Lafayette-Oxford-University (LOU) community! Our local United Way appreciates our friends and partners at FNB Oxford as we all work hand in hand for the betterment of Oxford and Lafayette County.

Contact Information

Easy Payroll Deduction

Direct Gift

Additional Information

Recognition

Pledge Confirmation

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