My Information. PLEASE PRINT CLEARLY AND PRESS FIRMLY. Your personal information is kept confidential and will never be sold or shared.

2 My Gift. Please consider 1 hour’s pay per month, 1% of your annual income, or an increase over last year’s gift.

THANK YOU!

WHITE: Payroll YELLOW: United Way PINK: Donor

Signature_________________________________Date_____________

I would like my gift to remain anonymous.

Mr. Mrs. Ms. Dr.

1

Optional

Please direct my contribution to another non-profit 501(c)(3) organization ($50 minimum contribution required).

AMOUNT $ ORGANIZATION NAME AND LOCATION

No goods or services were provided in exchange for this contribution. Please keep a copy of this form for your tax records. You will also need a copy of your pay stub, W-2 or other employer document showing the amount withheld and paid to a charitable organization. Contact your tax advisor for more information.

Name _______ First Middle Initial Last Date of Birth Home Address _______________________________________________________________ _______ City State Zip Employer ______________________________________________________________Union Affiliation (if any) Work Phone _______ Personal Email _______________________________________________________________ Home Phone ________________

GREAT THINGS HAPPEN WHEN WE LIVE UNITED!

PLEDGE FORM

Lake Area United Way 221 W. Ridge Road

Griffith, IN 46319 219-923-2302 x 306

eharris@lauw.org www.lauw.org

JOIN THE VANGUARD!

An annual individual contribution, or a combined family contribution, of $1,000 or more qualifies you for recognition as a Vanguard Member, including free Vanguard events year-round.

Please combine my gift with my spouse/partner’s gift to Lake Area United Way.

Their name _________________________________________________________ Their employer_______________________________________________________

Please list my/our name(s) as follows:

___________________________________________________________________

FAST TRACK to the Vanguard with a pledge to reach the $1,000 level in 3 years.

Contact me about joining the VANGUARD.

VOLUNTEER! (We’ll contact you with more information).

I am interested in ‘United We Read’, which helps area elementary students become successful readers. I am interested in other volunteering opportunities.

MAKE EVEN MORE GREAT THINGS HAPPEN!

BILL ME $50 minimum and home address required

I have been a United Way donor for 10 years or more. (This applies to donations made to any United Way.)

I will be retiring on ________________. After this date, please contact me to inform me of giving & volunteering options.

$ Total Annual Gift:

We’ll email you a link so you can make a gift securely on our website.

$ Total Annual Gift:

CREDIT CARD or AUTOMATIC BANK WITHDRAWAL

Email address (required):

PAYROLL DEDUCTION Amount per pay period: $

Number of pay periods per year:

$ Total Annual Payroll Deduction:

Monthly X 12 $ Quarterly X 4 $

GIFT IS ATTACHED Cash Check (make payable to Lake Area United Way)

Check #

$ Total Payment Enclosed:

One Time $

3 My Authorization. I authorize Lake Area United Way and/or my employer to process my pledge as directed above.

Lake Area United Way

THE TOP 10 REASONS TO GIVE

Shelice Tolbert — Kopka Pinkus Dolin PC Lake Area United Way Campaign Co-Chair

Al Spajer — Retired, US Steel Gary Works Lake Area United Way Campaign Chair

1. Your donation builds a stronger, healthier community.

2. It’s all about creating lasting change through your investment.

3. This is neighbor helping neighbor.

4. You’ll give people in need a hand-up, not a hand-out.

5. You’ll unite with thousands of others through your gift.

6. We all make a living by what we get, but we make a life by what we give.

7. Your gift stays local.

8. You’ll raise spirits, raise hope, and take advantage of an opportunity to help.

9. It’s more than a band-aid. It’s addressing underlying causes and conditions.

10. Because once upon a time, someone helped you.