United Way

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Donor hereby approves the payment of the charitable donation and/or purchase to United Way of Western Connecticut and in the amount set forth herein.

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Who may we say this gift is from? You many use the "Other" field to indicate a larger group, for example, a team or departmental colleagues.

Other: (ex., Your colleagues at X Corporation._

If you would like to include an additional note that we may share in our informing letter, please do so here: