Galloway Ridge Employee Pledge Form Thank you for donating to the United Way of Chatham County Payroll Deduction Donate By Mail Donate Online Now Bill Me Payroll Deduction Company First Name * Last Name * Address * City * State * – Select Province/State – Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * Email Address * Payroll Deduction Options I want to make a pledge through payroll deduction. I want to pledge a FAIR SHARE gift of one hour’s pay per period through payroll deduction. Do you want to designate your contribution? No- Use my gift to help support all United Way funded programs. Yes ($25 minimum) Check here if you DO NOT want to receive news about United Way of Chatham County. Donate By Mail Mail cash or check mail this form to: United Way of Chatham County PO Box 1066 Pittsboro, NC 27312 Donate Online Now Bill Me $50 Minimum Donation Required for Bill Me Option Email First Name * Last Name * Address * City * State * – Select Province/State – Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * Email Address * Payroll Deduction Options I want to make a pledge through payroll deduction. I want to pledge a FAIR SHARE gift of one hour’s pay per period through payroll deduction. Do you want to designate your contribution? No- Use my gift to help support all United Way funded programs. Yes ($25 minimum)