Contribute to United Way of Long Island

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$1,000 - Leadership Giving

$500

$250

$100

$50

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Total Amount

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Donor Information2

Title

First Name *

Last Name *

Company/Union

Job Title

Street Address (Primary) *

City *

State *

Zip Code *

Email Address *

Cell Phone *

Designations

Community Impact Fund

Other Designation

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Honor Of/In Memory Of

In Honor or In Memory of

Name of Person

Family Member to Notify

Full Mailing Address for Acknowledgement

Email Address for Acknowledgement

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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