Thank you for making an online pledge to United Way. You can be sure than when you give through United Way, your gift is used wisely to help the people in your community who need it the most!

Please be assured that your name and address will not be shared to outside organizations unless you authorize United Way to release your information. 

Please fill out the pledge form below, then select "Submit". Depending on your preference, we'll call you for credit card information or bill you through the mail.


Online Pledge Form
Donor Information

Last Name:

First Name:

Middle Initial:


Address:

City:

State:

Zip:

County:


Home Phone:

Business Phone:
    Ext: 
Company Name:

I prefer to be contacted at my:
Home Business Either

Email address: (please double check spelling)



Billing Information

My total gift amount is: 

Please choose one:
I will make a one-time payment.
I would like to be billed monthly, in 3 equal payments.
I would like to be billed monthly, in 12 equal payments.

Payment Method:
Credit Card - We will phone you for your number so as to maintain security.
Check - We will mail you a bill.

Leadership Giving Programs:
Falls Leadership Giving Program  -

Alexis de Tocqueville Society              $10,000 & Above

Horseshoe Falls                                   $ 7,500 - $9,999

American Falls                                     $5,000 - $7,499

Bridal Veil Falls                                   $2,500 - $4,999

Rapids                                                 $1,750 - $2,499

Whirlpool                                             $1,000 - $1,749


The Alexis de Tocqueville Society - $10,000 and above
I would like to be enrolled in the appropriate Leadership Giving Program.
I prefer my gift to remain anonymous.


Directing Your Gift (Optional)

The Community Care Fund
The Community Fund is directed by experienced local volunteers who determine our area's most urgent needs and select agencies with proven impact. They make sure that the Community Fund makes your caring count.
I'd like to support the Community Care Fund.
Please direct all of my gift to the Community Fund.
Please direct part of my gift to the Community Fund.
     Enter the percentage here: 
Please exclude the following organization(s) from my gift: 


Specific Agency

Please direct my gift to the following United Way agency or agencies:
    (For UW agency codes, please see the agency list).

Agency Name: 
Agency Code:     Enter percentage here: 

Agency Name: 
Agency Code:     Enter percentage here: 

Agency Name: 
Agency Code:     Enter percentage here: 


Please direct my gift to the following agency or agencies that are not affiliated with United Way:

Agency Name: 
Agency Address: 
Enter percentage here: 

Agency Name: 
Agency Address: 
Enter percentage here: 

Agency Name: 
Agency Address: 
Enter percentage here: 

I authorize the release of my name to the agency(ies) listed above. 
Yes No 

  
Thanks again for your generous support!


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