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MBT Bank Online Pledge Form
Thank you for supporting local nonprofits, programs, and people.
Make a Difference
First Name:
*
Last Name:
*
Employer:
*
MBT Bank
Email Address:
*
Select a donation method:
*
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 (monthly)
I would like the following amount deducted from every paycheck (monthly):
*
Total annual donation amount (click 'calculate'):
0
Calculate
I would like the following amount deducted from one paycheck:
*
Total annual donation amount (click 'calculate'):
0
Calculate
I hereby authorize my employer to deduct this amount from my paycheck for United Way of Mower County, Inc. to begin after January 1. Sign here:
*
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Your Name:
*
Today's Date:
*
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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:
*
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
Click the following link to donate securely online by credit card:
uwmower.org/creditcard
Please indicate "MBT Bank" 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
No
Special recognition preference:
🛈