Pledge Card

Workplace Pledge Card
Donation Method
Payroll Deduction
$
Check Donation
$
Make checks payable to United Way of West Central Mississippi. Please give the check to your Campaign Coordinator within 24 hours of this pledge.
Cash Donation
$
Please give your cash donation to your Campaign Coordinator within 24 hours of this pledge.
Bill Me Details
$
Credit Card Donation
$
$
After completing this form you will be redirected to our payment page where you will be able to process your transaction in a secured environment. Please be sure to enter the same values that you have entered on this form. Thank you!
Total Annual Contribution
0
Donation Details
Agreement
My signature below, confirms my pledge as stated above.
CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.