United Way of Virginia's Eastern Shore ! Pledge Fill in Form

United Way of Virginia's Eastern Shore Internet Printable Pledge Form

(Fill it in, Click File, Print and Mail it today. Thank You !)

P.O. Box 605 Onley, Virginia 23418 (757) 787-5622 fbowers@esunitedway.org

I HEREBY CONTRIBUTE THE FOLLOWING AMOUNT TO:

UNITED WAY of VIRGINIA'S EASTERN SHORE
P.O. BOX 605
ONLEY, VIRGINIA 23418
(757) 787-5622

METHOD OF
PAYMENT FOR
UNPAID BALANCE:

QUARTERLY
SEMI-ANNUALLY
ANNUALLY

I WANT MY GIFT OF
$ TO GO TO THIS LOCAL NONPROFIT AGENCY:
(Agency must be a 501(c)(3). If criterion is not met, gift reverts to Critical Community Needs.)

(Agency Name)

TOTAL GIFT
$

PAYMENT METHOD/AMT.
$

UNPAID BALANCE
$

Name:
Address:

SEND BILL BEGIN BILLING ON:

(DATE)

Acknowledgment
Requested

Date: Signature: Actual Signature above, please.

(Click File, Print, Mail it to the address above.) THANK YOU FOR HELPING US TO HELP OTHERS !

Web site developed, maintained and published by Coreave.com, Lennie Core
Media publishing and commerce via technology
© 1998-2000 Lennie Core & United Way of Virginia's Eastern Shore
All Rights Reserved