| STEP 1 |
Contributor
Information |
| First Name |
|
| Last Name |
|
| Billing Address |
|
| City |
|
| State |
|
| Zip |
|
| Home Phone |
( ) - |
| Work Phone |
( ) - Ext:
|
| Email |
|
| STEP 2 |
My Gift To The
Community |
| |
If your donation is $300 or more, please check this
box to be recognized as a Pillars Club
Leadership Giver |
|
|
Options |
| Bill Me: |
Monthly Quarterly
Annually One Time
Only |
| Total Annual Gift |
|
| Card Type: |
|
| Card #: |
- - - |
| Exp Date: |
/ |
|
Minimum
Annual Donation $50.00 |
| STEP 3 |
Community Giving |
| |
I want to donate to First Coast United Way so that
my gift will support a broad range of services. This
means that First Coast United Way trained volunteers
will direct my gift to make the greatest impact in
my community. |
| |
|