As mentioned above, the first step is to complete a Company Engagement form for your workplace! We will work with you from there to get your campaign off the ground! Complete your Company Engagement Form HERE If you would like campaign materials for 2022, please contact erin.calhoon@local.unitedway.org. Click Here for United Way Logos Please complete the form below to give through your workplace if you would like to use our online pledge form. Thank you for giving to United Way of Northeast Arkansas! Workplace Pledge Card Preferred Donation Method Payroll Deduction Check Cash Credit Card / Debit Payroll Deduction Contribution Amount Per Pay Period $5 $10 $20 $25 $50 Other… How much would you like to contribute per pay period: $ Number of Pay Periods for Donation One Time 12 pay periods 24 pay periods 26 pay periods 52 pay periods Other… How many pay periods? TOTAL: $0 Update Check Donation Amount of Check $ Cash Donation Amount of Cash $ Credit / Debit Card Donors: Thank you for your support of the United Way. To complete your donation by credit or debit card - please click here. Your Name Title First Middle Last Suffix Your Contact Information Email Cell Phone Home Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP Code Employer Employer - Select -Centennial BankCity of JonesboroFirst Community BankValley View School DistrictNettleton School DistrictSouthern BankBancorpSouthHCJ CPA's & AdvisorsOther… Enter Employer Recognition I am a PILLAR (my donation, or my donation combined with my spouse/partner, equals $500 or more) I/we would like to be recognized as: (i.e. Mr & Mrs. Jones) Agreement How many years have you been a United Way contributor? May we add your email to our Newsletter list? YES NO May we add your cellphone to our texting list? YES NO My signature below, confirms my payroll deduction request as stated above. Signature Reset CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Leave this field blank
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