United Way of Long Island - Workplace Campaign

Contribution amounts *

Leadership Giving ($1,000 and above)

500

250

100

Other

Do not use commas or $'s

Other

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I want to contribute this amount every month

Donor Information

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First Name *

Last Name *

Company/Union/Retired *

Job Title

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City *

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Phone

Designation

Long Island Impact Fund - Helping families afford basic needs and gain access to resources

Credit Card

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My billing address is the same as above

Billing Name and Address

Billing First Name *

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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.

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