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Please make check payment to: 'United Way of Long Island' and include in the memo section on your check ‘Workplace’; Send your check and completed pledge to your HR rep./Campaign Captain.
I want to contribute the following amount each pay period via payroll deduction.
Send cash contribution and completed pledge form and return to your HR rep./Campaign Captain.
Choose your designation(s) from the list below by typing the percentage of your total contribution you would like allocated. Percentages must total 100%.
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