United Way St. Croix & Red Cedar Valleys Annual Campaign

WORKPLACE PLEDGE FORM

Your Name
Employer
Your Contact Information
Donation Method
Payroll Deduction
$
Check Donation
$
Make checks payable to UWSCRCV. Please give the check to your Campaign Coordinator within 24 hours of this pledge.
Cash Donation
$
Please give your cash donation to your Campaign Coordinator within 24 hours of this pledge.
Credit/Debit Card Donation
$
$
After completing this form you will be redirected to our payment page where you will be able to process your transaction in a secured environment. Please be sure to enter the same values that you have entered on this form. Thank you!
Total Annual Contribution
$0
Donation Details
Adoray Home Health and Hospice, Burnett County Family Resource Center, Cesa11 HeadStart, Community Referral Agency, Free Clinic of Pierce and St. Croix Counties, Fresh Express, Community Outreach, Hudson Area Backpack & Food Program, Hudson Area Youth Resource Committee, Interfaith Caregivers of Polk County, Kinship of Polk County, Mental Health Task Force of Polk County, Operation HELP, Our Neighbors' Place, Pierce County Public Health, St. Croix County Public Health , St. Croix County Senior Center Board Coalition, St. Croix Valley Sexual Assault Response Team, Staying Put, Turningpoint for Victims of Domestic and Sexual Violence, West Central Wisconsin Community Action Agency (WESTCAP)
Agreement
My signature below, confirms my pledge as stated above.
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