St. Joseph County United Way Leadership Giving
St. Joseph County United Way
P.O. Box 577
132 West Main
Centreville, MI 49032
(269) 467-9099
     
NAME  
COMPANY  
BILLING ADDRESS  
   
     
CIRCLE OF CONTRIBUTION  
BRONZE ($1,000 - $2,499)
SILVER ($2,500 - $4,999)
GOLD ($5,000 - $9,999)
PLATINUM ($10,000 or more)
     
TOTAL PLEDGE:  
PAID NOW:  
BALANCE DUE:  
     
BY PAYROLL DEDUCTION  
QUARTERLY  
ANNUALLY ON
     
SIGNATURE  
     
Please do not list my name on the membership poster. I wish to remain anonymous.
 
Thank you. Your gift changes and saves lives.