Online Pledge Form | United Way of Muscatine

Please use the Donate button below to make a monthly recurring or one time donation to United Way of Muscatine via Paypal or credit card.

If you would like to make a pledge donation and be billed at a later date, please fill out the pledge form below.

If you have any questions contact Michele at 563.263.5963 or michele@unitedwaymuscatine.org.

PLEDGE FORM

Personal Information

First Name *
Last Name *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email *
Phone
Please combine my gift with my spouse: Spouse's name and employer

Payroll Deduction

EMPLOYER - Please select your employer from the drop down list
Payroll Deduction I want to contribute the following amount each pay period:
Other Amount
Total Annual Payroll Deduction

Direct Gift

Direct Gift
My Total Annual Gift

Leadership Giving

My Gift of $1,000 or more qualifies me for membership in the Pearl City Leadership Society and/or Women United.I prefer that my gift remain anonymousPlease include me in Women United (unitedwaymuscatine.org/womenunited)Please list my/our name(s) as follows:

I would like to designate my pledge to:

Non-Profit Name
Amount to designate

Imagination Library

In addition to my annual contribution, I would like to provide a child with one book a month for a year at the cost of $25/year.
Number of children you wish to sponsor:
Please add my Imagination Library amount to my:
Payroll Deduction TotalDirect Gift Total

Comments

Verification

Please enter any two digits *Example: 12
This box is for spam protection - please leave it blank: