Donate by Check | United Way of Sumner County

Thank You for Helping to Create Positive Change!

Your Information

Title

First

Last

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Email

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Address

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Type of Donation

Individual

on behalf of a company/organization

Company Name

Is your donation part of a Workplace Giving Campaign?

Yes

No

Company Where You Work

Pay by Check Donation

Frequency of Your Donation

One Time

Monthly

Quarterly

One Time Amount

$25

$50

$100

$250

$500

$1000

Other…

One-time Donation Amount $

Monthly Recurring Amount

$5/month

$10/month

$25/month

$50/month

$100/month

$250/month

Other…

Please bill me monthly.

I will mail the first payment to United Way of Sumner County at 1531 Hunt Club Blvd., Suite 110, Gallatin, TN 37066. Please bill me for the next payment on:

Quarterly Recurring Amount

$50/quarter

$125/quarter

$250/quarter

$500/quarter

$1000/quarter

$1,250/quarter

Other…

Please bill me quarterly.

I will mail the first payment to United Way of Sumner County at 1531 Hunt Club Blvd., Suite 110, Gallatin, TN 37066. Please bill me for the next payment on:

Comments/Instructions: