2018-19 Community campaign

General Agency Company Pledge Form

 
 

Welcome to the General Agency Company United Way Employee Campaign. Thank you for choosing to support United Way through Easy Payroll Deduction! Simply complete the form below.

Questions? Contact the United Way office at (989) 773-9863.

If you prefer to make a one-time donation by credit card, please click here.

 

PAYROLL DEDUCTION

This form is for General Agency Company employees only.

Name *
Name
Address *
Address
Phone *
Phone
How much would you like to have deducted each pay period? (Example: $1, $2, $5, $10, etc.)
$
Enter the number of pay periods — 26. (Starting 1/1/19)
Multiply the Amount per Pay Period by the Number of Pay Periods. (Example: $2 x 26 = $52, $5 x 26 = $130, $10 x 26 = $260)
$
United Way works to Break the Cycle of Generational Poverty through educational programs that give children the skills to succeed and help adults achieve long-term financial stability so they can support themselves and their familes. If you prefer, you may designate your contribution to a specific local nonprofit organization. To choose this option, click on the checkbox next to "Other" and type in the name of the organization you wish to support. ($100 minimum donation on designated gifts; a 7% administrative fee applies.)
Designation Selection (Select One) *
I would like my gift to remain anonymous *
By clicking on the "Submit" button you are authorizing General Agency Company to process your payroll deduction.
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