City of Cape Coral Campaign

If you would like your spouse included in your recognition, please fill out the information below.

Donation Method:

Easy Payroll Deduction (26 pay periods)

Personal Check (attached)

PayPal One Time

I pledge the following amount to be deducted each pay period for 26 pay periods:

I pledge a one-time gift payable by personal check for the following amount:

If you are pledging a one-time gift payable by personal check, please print this form and return along with the check, payable to United Way, to Wendie Ward(Hauck) via interoffice mail.

ONE TIME PAYPAL Amount: Due to the fees for the PayPal option, the minimum amount is $26.

USD

Dollars

Cents

First Name:*

Last Name:*

E-mail:*

Employee ID #:*

Select Department:*

To see a list of United Way Partner Agencies Please follow this link:Partner Agencies

If you would like your contribution to go to a specific United Way Agency or County, please list the name of the agency or county here:

By clicking submit you are giving permission to make changes to your United Way contribution.A copy of your submission will be automatically sent to the email address you entered above. If you have not received an email within an hour please check your "junk mail" box.

UNITED WAY OF LEE, HENDRY, GLADES, AND OKEECHOBEE, INC. IS A 501(C)(3) NONPROFIT CORPORATION REGISTERED PURSUANT TO CHAPTER 496, SECTION 496.405 OF THE FLORIDA STATUTES. A COPY OF THE OFFICIAL REGISTRATION (CH31) AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (1-800-435-7352) WITHIN THE STATE OR FROM ITS WEBSITE AT WWW.800HELPFLA.COM. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. EIN# 59-1005169

City of Cape Coral Campaign

Address

2-1-1 HELPLINE

Text to Donate