Goodwill NCW Campaign – Oshkosh Area United Way

STEP 1: MY INFORMATION

First Name *

Last Name *

Date of Birth (For Sweepstakes Eligibility) *

Retiring within the year or on:

Sign me up for the monthly OAUW e-newsletter

Yes

Please send me information on planned giving to United Way

Yes

Home Address *

Home Address

City

State

ZIP Code

Phone Number *

Phone Type *

Email Address *

Email Type *

STEP 2: MY PLEDGE

Investment Options *

x Number of Pay Periods Per Year

= Total Amount *

Credit Card Amount *

Credit Card

One Time Payroll Deduction Amount *

Check Amount *

Check Number

Check Date

Please make checks payable to: Oshkosh Area United Way.

MAIL TO:
Oshkosh Area United Way
ATTN: Pledge Payment - Goodwill NCW
16 Washington Ave.
Oshkosh, WI 54901

Bill me the following amount: *

Bill Me:

Monthly

Quarterly (Jan. 1, Apr. 1, July 1, and Oct. 1)

One-TimeOne-Time

Send me a pledge reminder on

STEP 3: RECOGNITION

For recognition, please list my/our name(s) as follows:

In Honor of:

In Memory of:

Would you like to be thanked for your donation?

Yes

I/We prefer to remain anonymous

Yes

STEP 4: MY GIFT DESIGNATION

Please choose up to 5 funding options below:

Please focus my investment to support:

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United Way Community Campaign

STEP 1: MY INFORMATION

STEP 2: MY PLEDGE

STEP 3: RECOGNITION

STEP 4: MY GIFT DESIGNATION