Miravida 2020 Campaign – Oshkosh Area United Way

United Way Campaign

Workplace Campaign Pledge Form (Miravida Final)

First Name *

Last Name *

Date of Birth *

Home Address *

Home Address

City

State

ZIP Code

Phone Number *

Phone Type *

Email Address *

Email Type *

Total Pledge Amount *

Investment Options *

Credit Card Amount *

Credit Card

Reoccurring Monthly Donation Amount *

Check Amount *

Check Number

Check Date

Please make checks payable to: Oshkosh Area United Way.

MAIL TO:
Oshkosh Area United Way
ATTN: 2020 Pledge Payment - Miravida Employee
21 W. New York Avenue
Oshkosh, WI 54901

Send me a pledge reminder in January 2021 for the following amount: *

Please choose up to 3 funding options below:

Please focus my investment to support:

Oshkosh Area United Way's General Fund

Health

Financial Stability

Early Education

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