In 2020, your Catawba County United Way helped 28,949 people. Previous Next To see more of the impact your donations have made, click here to view videos. HSM WORKPLACE PLEDGE CARD Preferred Donation Method Payroll Deduction Check Cash Credit Card Click here to complete your PayPal donation. Please forward your check or cash donation to your campaign coordinator. Your Information Your Name Title First Middle Last Suffix Your Contact Information Home Mailing 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 VirginiaWisconsinWyoming ZIP Code Your Telephone Number Type - Type -HomeOfficeCell Phone Ext: Your E-mail E-mail Address Type - None -HomeWork Enter your Employee ID (optional) Select your HSM location - Select -603 Metal Plant130 WireTech461 Bedding631 Converting648 PTI648 Sales Office639 Corporate Additional Donor Information I am a first-time United Way investor I have invested in United Way for at least 10 years I would like information about including Catawba County United Way in my will I am retiring within the next year and would like to continue to invest in My community - please add me to your mailing list I want to receive updates and news from CCUW via my e-mail address My Investment - Payroll Deduction Fair Share amount (1 hour pay per month or .6% of annual salary) Fair Share Plus (2 hours pay per month or 1.2% of salary) Fair Share Premier (3 hours pay per month or 1.7% of salary) If you are a Fair Share donor please select your T-shirt size - Select -Small MediumLargeX-Large2X-Large3X-Large4X-Large5X-Large Contribution Amount Per Pay Period Number of Pay Periods Total Investment TOTAL: $0 Update Check Donors Amount of Check Donation $ Cash Donations Amount of Cash Donation $ Designations - MINIMUM $100 per designation Direct My Investment to.... Education Impact Income Impact Health Impact Other… Agency Name and address Release my donor information to the designated agency. Your information will NOT be released unless you check this box. Agreement My signature below, confirms my payroll deduction request as stated above. Signature Reset Preview
