WELCOME TO THE UNITED WAY OF DAVIDSON COUNTY 2023 WORKPLACE CAMPAIGN WORKPLACE PLEDGE CARD - THOMASVILLE CITY SCHOOLS Preferred Donation Method Payroll Deduction Credit Card / Debit Payroll Deduction Contribution Amount Per Pay Period $5 $10 $20 $25 $50 Other… $ 8 Pay Periods for Donation TOTAL: $0 Update Credit / Debit Card Donors: *$50 minimum Thank you for your support of the United Way. To complete your donation by credit or debit card - please click here. Your Name Title First Middle Last Suffix Please select the department/school you work in. Central Office Liberty Drive Elementary Thomasville Primary Thomasville Middle School/Bulldog Academy Thomasville High School Your Contact Information Email Phone Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP Code Designations I wish to donate to the United Way's Community Investment Fund Enter me in the Jerry Hunt Supercenter Cash Give Away (See Rules Below) Yes No *If you choose to enter the Cash Giveaway, please see your location's United Way coordinator to obtain the entry card. By designating to the United Way's Community Investment Fund you will have the option (if you qualify) to enter the Jerry Hunt Cash Giveaway drawing. Image Individual must pledge their CARING SHARE (1 hour’s pay per month or .6% of annual salary) for 12 months. Individual must contribute to the United Way of Davidson County Community Investment Fund. Individual must complete the 2023 Community Investment Cash Giveaway Entry Form. All rules are outlined on the form. United Way of Davidson County reserves the right to redirect designated gifts to the Community Investment Fund for anyone that enters into the cash giveaway. Requirements for the winners: The winner is required to pay all applicable taxes relating to the transaction and must pay his/her pledge in full to United Way of Davidson County. All finalists grant the United Way of Davidson County and Jerry Hunt Supercenter the use of his/her name and photograph in all communication and publicity materials. Mark all that Apply I would like to learn more about serving as a Fund Distribution Volunteer I would like to learn more about volunteering for the Day of Caring in May of 2024. I wish my/our gift to be anonymous I wish to direct my gift to a specific 501c3 agency I plan to retire this year, please add my personal email to your enewsletter list. Agency Designation Name of Nonprofit EIN Number Agency Address Agreement My signature below, verifies that all information on this form is correct and that I will adhere to the rules of any drawings which I have qualified for. Signature Reset CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit