 CHOOSE HOW TO GIVE:
 CHOOSE WHERE TO MAKE AN IMPACT:
 MY INFORMATION:
Your information will never be shared with outside parties.
2340 Alamo Ave. SE, 2nd Floor
Albuquerque, NM 87106
Phone (505) 247-3671
Fax (505) 242-3576
United Way
of Central New Mexico www.uwcnm.org
Mark Preferred Phone & E-mail for Contact
Name  Home Phone #
(Mr., Mrs., Ms., Dr.)
Employer  Work Phone #
Emp. ID Home Address  Cell Phone #
City/State/ZIP  Home E-mail
SHIRT SIZE (circle one)
S
M
L
XL
 Work E-mail
Other______________
 In recognition of my leadership gift, please recognize me/us as follows:
Spouse/Partner's Company:
 I/We wish to remain anonymous. Your name and pledge will not be shared with your designated agencies.
SUPPORT the UWCNM Community Fund
$
to UWCNM to help those most vulnerable through Community Fund grants and programs that strengthen our community.
OR give to one or more specific Issue Areas of the Community Fund:
Education $
Health $
GIVE to a UWCNM Initiative
$
Self-Sufficiency $
JOIN an Affinity Group
to any nonprofit organization of your choice
(additional designations may be attached)
 Give to the CNM Foundation $ __________.
 Give $ ______ to support the 50th Fund.
Name of organization, city, state:
 Give $ ______ to support a CNM Department/Other:
_____________________________________________.
 Payroll Deduction
For each paycheck I receive (24 per year) please deduct:
One-time payroll deduction $___________________
 Payment Attached  Cash
$
 $  $104  $42  $21  $10  $5
$
 Check* Make check payable to UWCNM. Check number *When you provide a check as payment, you authorize us either to use the information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction.
 Debit My Bank Account  Checking  Savings
Routing # (A Voided Check is REQUIRED to process this transaction) $
Account # Bank Name:
 One time (February 2015)  Monthly (January – December 2015)  Continuous Monthly (Until I notify UWCNM to discontinue)
My Total Annual Pledge is: $
You can give via credit card through our website at www.uwcnm.org or call Finance at 247-3671.
United Way of Central New Mexico is a 501(c)3 organization and your donation may be tax deductible. Please consult your tax advisor. United Way does not provide goods or services in whole or in partial consideration for any contribution.
SIGN HERE
Date
Your signature is required to process your pledge and to authorize payroll deduction.
The first year I gave to any United Way was:  Please contact me so that I may share why I give.
(year)
 Leave a Legacy I wish to leave a lasting legacy through a Bequest, IRA, Life Insurance, Endowment
or Remainder Interest in my home. Please contact me.
White copy: Company Payroll Yellow Copy: United Way Pink Copy: Giver
Thank You!