Pledge Forms:

Click here if you would like to print and mail your form:

Complete the form below if you are paying by credit card and would like to send your pledge electronically.

Please provide the following contact information:

First Name
Last Name
Middle Initial
Title
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

Pledge Information:

I (we) pledge a total of $

Credit Card Type:

Credit Card Number:

Expiration Date:

Name as it appears on Credit Card:
I want my gift to go directly to support Cecil County Agencies.
Send my gift to a specific 501(c)(3) health and human service agency.
If agency code is not available, be sure to indicate address.

Click here to see a list of our partner agencies.

Code # : Agency: Amount $ :

Address:

City: State: Zip: Phone:

Code # : Agency: Amount $ :

Address:

City: State: Zip: Phone:

Code # : Agency: Amount $ :

Address:

City: State: Zip: Phone:

Code # : Agency: Amount $ :

Address:

City: State: Zip: Phone:

Important eligibility information: 501(c)(3) health and human service agencies are eligible for designations. Churches, religious institutions, arts/cultural organizations, educational institutions, government entities, economic development organizations and libraries are ineligible for United Way designations. If you have designated an agency other than one of our partner agencies, a complete address including zip code is required.

United Way acknowledges that no goods or services have been given in exchange for this contribution.

I would like my gift to be acknowledged.

Pledge Forms:

Copyright © 2007 [United Way of Cecil County]. All rights reserved. Revised: 10/29/07

Copyright © 2007 [United Way of Cecil County]. All rights reserved.
Revised: 10/29/07