MERCHANTS WORKPLACE CAMPAIGN PLEDGE

Preferred Contribution Method
Check Contributions

INSTRUCTIONS

  • Please complete this pledge form and print 2 copies – one for your workplace and one for your personal records
     
  • Make checks payable to: 'United Way of Long Island' and include ‘United Way Donation’ in the memo section on your check. Please give the completed form and all checks to either Diane McIntyre or Vanessa Nove”
     
  • Click Submit at the bottom of this webpage
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Credit/Debit Card Donors: To complete your contribution by credit card please click HERE. 

Thank you for your support of United Way of Long Island.

Payroll Deduction

I want to contribute the following amount each pay period via payroll deduction.

$0
Cash Contributions

INSTRUCTIONS

  • Please complete this pledge form and print 2 copies – one for your workplace and one for your personal records
  • Mail a printed copy of this completed pledge form along with cash to your company’s Campaign Captain or your Human Resources representative. 
  • Click Submit at the bottom of this webpage

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Your Name
Your Contact Information
Invest My Contribution In...
Selection

Choose your designation(s) from the list below by typing the percentage of your total contribution you would like allocated. Percentages must total 100%.

Please type the name of your designated 501(c)(3) community partner agency here. For a list of United Way of Long Island’s community partner agencies visit www.unitedwayli.org/communitypartners.
Agreement
All payroll deductions are continuous from year-to year unless otherwise directed by you. Gifts designated to a specific community partner agency must be made annually by donors. All undesignated gifts will revert to United Way of Long Island's Long Island Impact Fund.

My signature below, confirms my payroll deduction request as stated above.

United Way of Long Island's most recent financial reports are accessible at www.unitedwayli.org/aboutus/financial-information. And, the New York State Office of the Attorney General may be contacted at 212.416.8401, or by visiting www.charitiesnys.com, if necessary.