United Way

Thank you for participating in our United Way employee giving campaign. A gift to United Way helps us fight for the health, education and financial stability of every person in our community.

Contact and Payment Information

United Way only uses personal information to acknowledge your gift, provide necessary tax receipts, record donor demographics, etc.

How would you like to make your donation?

**To make your gift by credit card, please click here https://igfn.us/form/SYwEcw to access our credit card form!**

**Please mail your check to: United Way of Rutherford and Cannon Counties P.O. Box 330056 Murfreesboro, TN 37133

How much would you like to give each pay period?

Number of Pay Periods (Please refer to your Payroll dept. for acceptable deduction periods.)

Frequency (Example: 1 for one-time, 4 for quarterly, 12 for monthly, etc.)

Automatic Yearly Renewal: Please automatically renew my donation in January each year based on this pledge information. I understand I can cancel my automatic renewal at any time by informing you in writing via email: [email protected].

Consider adding a donation to your Local Imagination Library

In addition to my annual contribution, I would like to provide a child with an Imagination Library book each month for a year at the cost of $25/year.

I would like my gift to benefit children in the following county (please choose one from this list):

How many children would you like to provide a book for one year? (1 child = $25)

Organization/Employer (if a government entity please list along with school or dept.)

First Name

Last Name

Home address

State

Zip

Mobile Number

Personal Email Address:

Work Email Address:

Preferred Email:

Date of birth

I would like to combine my gift with my spouse or partner.

Spouse or partner's first and last name

Spouse/Partner's Employer

I would like my gift to remain anonymous

I have included United Way in my will or estate plan.

I am interested in including United Way in my will or estate plan.

Optional: Designate My Gift - Select from the following options if you wish to restrict your gift.

I WANT UNITED WAY TO INVEST MY GIFT IN THE COMMUNITY FUND FOR GREATEST IMPACT.

I WANT MY GIFT TO GO TO THE FOLLOWING FOCUS AREAS:

MENTAL HEALTH & SUBSTANCE ABUSE

BASIC NEEDS & FAMILY SUCCESS

I would like to designate my gift to a specific 501(C)(3), or other United Way. A $50 minimum applies.

Designations may only be made to 501(c)(3)s by providing their government designated EIN number and agency name below. United Way only honors designations to 501(c)(3)s. If EIN# and agency name is not complete, or if the organization is not a 501(c)(3), United Way reserves the right to redirect your investment to its Community Impact Fund.

Designations below $50 will be applied to the United Way's Community Impact Fund. UWRCC is not able to monitor how agencies use designated gifts. Contributing to the Community Impact Fund or toward the Bold Goals 2030 allows UWRCC to ensure that gifts are used to drive measurable change in human services.

EIN Number REQUIRED (do not use hyphens)

Agency Name - REQUIRED

By typing your name below, you are signing this pledge agreement electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this pledge agreement.

Welcome to United Way's Workplace Campaign!

Contact and Payment Information

Consider adding a donation to your Local Imagination Library

Optional: Designate My Gift - Select from the following options if you wish to restrict your gift.

Total Pledge

Welcome to United Way's Workplace Campaign!

Contact and Payment Information

Consider adding a donation to your Local Imagination Library

Optional: Designate My Gift - Select from the following options if you wish to restrict your gift.

You're Almost Done

Total Pledge