Donor Form and Instructions
老王论坛 Combined Giving Campaign
Donor Pledge Form Instructions
Donor Form
Printable instructions
Donor Pledge Form Instructions
1. Select an organization or organizations to which you would like to contribute and list your contribution in the appropriate box.
2. If donating by payroll deduction, the amount listed will be deducted from each pay beginning with the first pay in January 2025 and ending the last pay in December 2025. If you are paid monthly, the total donation for the year will be 12 times the amount listed in the 鈥渁mount of pay deduction鈥 box. If you are paid bi-weekly, the total donation for the year will be 26 times the amount listed in the 鈥渁mount of pay deduction鈥 box.
3. If donating by check, please make checks payable to the name of the partner organization even if you designate a specific agency within that organization to receive the funds. For example, if you designate the American Heart Association within the United Way of Southeastern Pennsylvania, the check must be made payable to the United Way of Southeastern Pennsylvania.
4. Donations may not be made to individual agencies within the AIDS Fund, Women鈥檚 Way, or the Bread and Roses Community Fund.
5. Donations may be made directly to United Way, or all or part of the donation may be designated for individual agencies within the organization. To make a contribution to an organization as a whole, please list the donation in the first line under the organization name. To designate a contribution to an agency within the organization, please complete the lines (up to 3) under the organization name, listing the name of the designated agency in the first box, the code number in the next box (for United Way) and the amount in the third box. Agency names/codes are available online or by calling Human Resources.
Still having trouble? Please contact Human Resources, for help at extension 5266 or 5261.
6. Donations made by check will be tax-deductible for the calendar year 2024 and donations made through payroll deduction will be tax-deductible for the calendar year 2025. Note that eligibility for tax deductions will vary based on each individual鈥檚 specific circumstances.
7. Please return the Donor Pledge Form with your check or checks (if donating by check) to Human Resources, by December 13, 2024. Keep a copy for your records.
8. Please call Marty Mastascusa in Human Resources at x5266 if you have any questions about completing the form for the Combined Giving Campaign.