subject_line
Online Pledge Form
First Name
*
Last Name
*
School/Site
*
District Office
School Board
Austin High School
Ellis Middle School
IJ Holton
Southgate
Sumner
Banfield
Neveln
Oakland Education Center
CLC
Email Address (if you would like an emailed receipt)
How would you like to give?
*
Payroll Deduction
Billing
Cash or Check
Credit Card
I do not wish to give
Payroll Deduction
At what frequency would you like your donation deducted?
*
One Time
Every Paycheck
One-time donation amount:
*
I would like the following amount deducted from every paycheck:
*
Total donation:
0.00
Calculate
I have pressed "calculate" (above) and authorize the current total is correct.
*
Yes
I hereby authorize my employer to deduct the per-paycheck donation amount from my paycheck for the United Way of Mower County, Inc to begin after January 1.
*
clear
I hereby authorize my employer to deduct the one-time donation amount from my paycheck for the United Way of Mower County, Inc on or after January 1.
*
clear
Billing
$100 minimum required for billing
Would you like to be billed one-time or quarterly?
*
One Time
Quarterly
Total Donation Amount:
*
Street Address:
*
City:
*
State:
*
Zip Code:
*
Phone Number:
*
Email Address:
*
Cash or Check
Total Donation Amount:
*
Mail to:
United Way of Mower County
PO Box 605
Austin, MN 55912
Drop off at:
United Way of Mower County
111 Main St N #202
Austin, MN 55912
Credit Card Donation
Click the following link to donate securely online by credit card:
uwmower.org/creditcard
Please indicate "Austin Public Schools" in the "Employer" field
Check the box below once you have completed the credit card transaction at the link above:
*
Credit card transaction complete
Credit Card Donation Amount:
*
Last Four Digits of Credit Card Used
*
Optional Preferences
I would like my gift to remain anonymous:
Yes
Special Recognition Preference:
🛈