UW of Mid Coast

United Way of Mid Coast Maine Logo

First Name

Last Name

Mobile Number

Address

City

State

Zip

Recognition Name: How you would like to be listed in our publications

Joint Donor: Spouses/Partners combine their United Way gifts to increase their annual "household gift."

Joint Donor Name

Joint Donor Workplace

Designations

Other Designations (List Organizations)

255 character limit

0 / 255

Would you like your gift to be anonymous?

Name of Workplace (if applicable)

Will you consider making a bigger impact? Make your gift recurring! Choose a Monthly or Quarterly schedule, and maximize your giving power!

This is a secure 256-bit SSL encrypted payment

Card Number

Expiration Date

CVV

I would like to cover the payment processing fee.